Hello, usually stable bp1 here. In the last 2 weeks, I’ve become insanely anxious. I think it’s related to missing my regular doses of lithium and bupropion while traveling for a distressing funeral and being stressed about my relationship. I haven’t strongly felt many of the other fun chaotic thoughts or destructive behaviors I’ve previously associated with hypomania or mania. The ones I’ve had I’ve been able to keep in check eg write a draft plan for a novel but know I don’t have time to write the whole thing. Or or starting a charity in relation to the death I mentioned before as an outlet for how angry it makes me—seems a reasonable response? What I am feeling is my heart beating so loud and so fast I think I’m gonna die. I feel so anxious my body is shaking a lot. My chest is tight and sometimes feel I can’t breathe. I’m having small moments where these sensations abate and I can breathe. I’m trying to manage with techniques like mindfulness, body scan meditations, walking the dog etc. I feel completely consumed by this anxious feeling. I haven’t been sleeping. So the fill-in doc I saw thinks this anxiety ie racing heart and sleeplessness could be a bit of prodromal hypomania. I haven’t had an experience like this before, I don’t really feel hypo, just insanely anxious and not sleeping. 

Anyone one else ever had anything like this? Or experiences of anxiety alongside bipolar?