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Specific Features of mixed states
• Persistent drive state contradictory to the mood
state and/or the emotional resonance
• Emotional instability
• Impulsivity
• Indecisiveness, perplexity
• Perceptual disturbances
• Depersonalization
• Extremely painful excitement
Berner P et al. In: Diagnostic Criteria for Functional Psychoses. 1993. (Book)
Koukopoulos et al.: Psych Clin North Am, 2001
Perugi et al., JAD, 2002