11 Months - Mixed States or Just Stress?

I am now not so sure my menstrual cycle is coordinating with these 24-48 hour States. I am also starting to doubt whether they are Mixed States, or Breakthroughs, ... maybe this is just how I handle stress?
My entire life up to 11 months ago has been either without medication or with a fog-inducing medication. I realize there is no true way to recognize how I deal with anxiety and stress, when not in an "altered state." 
Of course while not on medication, there was time when I was not Manic or Depressed, and had regular emotional reactions. But that was over 15 years ago. I was a different age, with different responsibilities and stressors. Prior to diagnosis, I thought I had PMS. So my impression of how I "normally" react to circumstances is unclear.
So maybe I just have a bitchy side. I can live with that. I'm not sure everyone around me can, though.
 
Have you had the problem where people are displeased with the non-Mania version of you? Maybe I'll post this question to the forum.