Bipolar disorder is considered to be in a rapid cycling state if you have more than four episodes of either depression or mania in one year.
One study showed that 80% of people experienced a resolution of their rapid cycling within two years. Rapid cycling is often triggered by something such as medication or a medical illness. So if you are cycling, you and your doctor need to look to see if you can find something that may be aggravating your stability. astly Polarity switching is another sign of instability and may call for more aggressive medication management like maybe needing to be on more than one mood stabilizer.
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Schneck CD. Treatment of rapid-cycling bipolar disorder. J Clin Psychiatry. 2006;67 Suppl 11: 22-7. PMID: 17029493.
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