My mixed episode turned into a severe depressive episode, also with a lot of anxiety.

I haven't showered in a week. I am going to tomorrow only because I have an MRI and I don't want them to get upset with me for being dirty. If not I'd probably push it off even longer. I can go to the gym just fine but showering is a nightmare and I don't know why. I never have issues showering when I'm depressed.

I've been self harming regularly, almost daily. It's nothing severe...

As the title says, if this keeps up, I will end up back in the hospital.

My mood has been getting worse lately, especially in the month of June. I had a lot of ups and downs despite being on a ton of medications. I have been irritable and snapping at my parents for stupid things like the fact that my Dunkin order was wrong. I also had impulsive spending to the point that I had $6.14 left in my bank account by the end of the month. I have also been self harming and my suicidal thoughts...