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In fact, symptoms of mania and depression may be mixed together in a single "mixed" bipolar state (Ramirez 17).
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sustained period of behavior that is different than usual; increased sexual drive; abuse of drugs (particularly cocaine, alcohol, and sleeping medications); provocative, intrusive, or aggressive behavior; and denial that anything is wrong (Griswald 7).
Bipolar disorder is diagnosed if an episode of mania occurs whether depression has been diagnosed or not, but most commonly, individuals with manic episodes experience a period of depression (Jamison 14)...
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