“She's high energy and then crashes”
What could be going on
Bipolar disorder and hypomania: Days or weeks of high energy and little sleep, then lows, fits; check episode length.
Fast speech and little sleep: Fast speech and little sleep during highs fits; check whether she feels tired.
Mood swings day to day: Shifts day to day fit; check whether swings last hours or weeks.
Hypomanic (manic) character: A steady high-energy style fleeing low mood could fit; check whether stopping feels unbearable.
ADHD in adults: Bursts of hyperfocus then crashes can fit ADHD; check lifelong attention patterns.
Stress response and allostatic load: Overworking then collapsing from exhaustion is common; check whether highs are mostly deadlines.
Questions to carry
- Before the last crash, how had she been sleeping and talking in the days before?
- What do I take on when she crashes, and what do I feel?
Also said as
- she's on top of the world then totally depressed
- my brother goes manic then crashes
- I swing between super productive and dead
- huge highs then horrible lows
- he barely sleeps for days then can't get out of bed
- my wife has these manic phases then crashes