A Self-Test for Mixed States



“Bipolar, Not So Much” is a book which features a self-test for mixed states (mixture of depressive and manic symptoms). The 12 symptoms listed arise from an overlap of mania and depression.


Aiken Mixity Scale:


Over the last week, how often have you been bothered by any of the following problems?

Ratings: 0 (Not at all), 1 (Several days), 2 (More than half the days), 3 (Nearly every day)

  1. Feeling tired and wired at the same time or within the same day
  2. Easily irritated or impatient
  3. Trouble sleeping or irregular sleep patterns (such as sleeping in the day and awake at night)
  4. Driven to do something but you don’t know what to do
  5. Feeling nervous, anxious, or on edge
  6. So restless that it is hard to sit still
  7. Urges to self-medicate
  8. Easily distracted, racing thoughts, or thoughts that move from topic to topic
  9. Thinking that other people have bad intentions toward you
  10. Rapid changes in emotions
  11. Doing reckless, violent, or dangerous things
  12. Thoughts that you would be better off dead of of hurting yourself in some way


If you had any of these problems, how difficult did they make it for you to do your work, take care of things at home, or get along with other people?

From not difficult at all to extremely difficult



This can be used to measure progress as you recover from a mixed state.


I found it interesting that this book decided to create a scale for mixed states. I think this is especially important for bipolar patients, since mixed states are really dangerous times for self harm or suicidal tendencies/actions.

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