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3 Stories of Rapid Cycling

Rapid cycling feels like a roller coaster

Rapid cycling is defined as four or more manic, hypomanic, or depressive episodes in any 12-month period. Rapid cycling occurs in 10-20% of all people with bipolar disorder, and is more common in women (read this article for more facts about rapid cycling). 

Bipolar disorder varies greatly from person to person. Similarly, rapid cycling can also mean different things for different people. To meet the clinical definition, there must be 4 episodes in a year. But some individuals can experience multiple mood shifts in the same day (for a visual depiction of this, check out the graphs in this article). Rapid cycling can also vary in how consistent it is: some people see the same patterns year after year, and for others it seems to be random. In this article we will hear from 3 different perspectives:

  • Melanie, who often experiences several cycles in the same day 
  • Lauren, who’s rapid cycling changes throughout the year
  • Lyndsay, who consistently has around 4 mood shifts per year 
What does rapid cycling feel like? 

Melanie: For me, rapid cycling is when I experience multiple “highs” and “lows” in a day. I am an extreme rapid cycler and I have several mood shifts throughout the course of a day. It’s really hard to handle, and it’s exhausting, as someone who works full time in an office setting. It doesn’t change minute to minute, but it sure feels that way! It really affects my energy levels and how I interact or want to interact with other people. 

Rapid cycling feels like your mind is playing tricks on you. You are sad one minute, hyper the next, giddy, and then back to sad, teary, and wanting to hide. It’s very confusing and it’s scary how fast your mood can change and change and change. You feel like your moods are changing so quickly and you don’t know when you will feel “right” again. It is one of the most frustrating parts of having bipolar disorder. 

I have to say that I have had to become a very good actress and very good at suppressing my moods at work, and as a result, at the end of the work day, or on the weekend, the moods can be more severe. I become frustrated with how emotionally labile I am, and I feel terrible that I have anger outbursts, am agitated and rude when I am in a  hypomanic state, or that I am “useless” and amotivated when in a depressed state, i.e. unable to cook, clean, empty the dishwasher, put things away etc.”

What is also confusing and frustrating about rapid cycling is that you can be anxious regardless of what state you are in. Or at least, that’s what happens to me. 

Lauren: Rapid cycling feels like a large roller coaster- but one that is never ending, with highs and lows of unknown duration and height/depth, going around over and over again. The depression of knowing you’ll fall, and the happiness when you’re climbing up, the anxiety when you realize you’re going to start falling again any moment.

Lyndsay: It feels painful (mentally and physically), stressful, scary, and dramatic. Most people think mania is great, but it’s not. During my manic episode, I spend a lot, I can’t feel any emotions, I shut people out, I’m impulsive, and I’m mean. Then I cycle into a depression, and it’s a quick transition. It’s usually a mixed episode for a couple weeks (both manic and depressed), and turns into full-blown depression. That’s when I deal with the repercussions of the mania. I’ll have spent all my money and find myself in severe debt. My relationship will need mending. My physical health will deteriorate. Imagine experiencing the mania to depression (back to mania) four or more times a year. It’s exhausting. And it hurts. It hurts my brain and it hurts my body. I think the worst part is knowing that it’s going to happen. No matter how hard I try to treat it in advance, it always happens; and I never know the severity in advance.

How often do you “rapid cycle”? Do you have mania or depression more often? Has it changed over time? 

Melanie: It depends on the day. I notice that on a typical work day, I start off in a hypomanic state, I am okay for a few hours, then I feel a wave of sadness after lunch, then I have trouble focusing for the rest of the day. By the time I leave work, I can be a little hyper, and my mood will change again. Sometimes I get so hyper by the end of the day that I have trouble sleeping. 

I first noticed the rapid cycling a couple of months after my diagnosis. Initially, my “main” state was hypomania. After a couple of years, it changed to depression. I am not sure if this had to do with life circumstances and events or if it’s “normal” for this to change over time. I do notice that when I am under stress, my predominant state switches to “hypomania”, because in that state, you feel “invincible”. 

My rapid cycling involves multiple cycles throughout a day. The day will end with whatever the predominant mood is. Under stress, I am very hyper and have difficulties sleeping, experience insomnia and of course, this is a dangerous cycle in and of itself! 

I think my rapid cycling will change again and again, depending on what is going on with my life. 

Lauren: My rapid cycling varies- in the summer I get longer but more frequent lows, and in the winter I get higher and more frequent highs. My cycles could change on a weekly or monthly basis. Sometimes I feel ahead of the game and my meds are on track, other times it’s a guessing game and I can’t keep up. I’ve had several major depressive episodes, which add even more frustrations to the mix. Because of this, I usually have to adjust my medications several times a year. The doctors I’ve seen said this might just be my new “normal”.

I was diagnosed with Bipolar type 1 over 13 years ago, when I was 18, but it wasn’t until a few years later they determined it was rapid cycling. It’s been suggested that I had child onset bipolar, but since they didn’t think that was possible at the time they just called it ADHD. So honestly, I don’t remember a time in my life when I was “normal”. I remember getting in trouble a lot growing up, and not being able to control my emotions, but also not really knowing what my emotions even were in the first place. I look back on it now and honestly remember it as living in a haze until I was diagnosed properly and started on the correct medications. 

Lyndsay: My rapid cycling is generally four times a year with little episodes in between. I would explain my episodes throughout the year like this: Every spring (March/April), I cycle into a manic state. My doctors and I assume it’s because of the time change, plus spring is “happier” than winter. I experience this mania for about four months, until a depression cycle comes along in August. I’m curious if this could be related to the start of school, as life changes from fun and playful to busy and structured. I become stable in October and stay that way until January when I find myself in a depression. Mania hits again in March/April. It’s like clockwork.

As I’ve gotten older, I find myself having more manic episodes than depression. I live in Southern California, so the abundant sunshine helps A LOT with managing depression (plus my sun lamp). When I lived in Ohio, the winters would generally be a time of severe depression. 

It seems that all people with bipolar would experience this, but they don’t. My brother, for example, has bipolar disorder and generally cycles once or twice a year (between hypomania and depression). The important thing to remember is that there are multiple types of bipolar disorder. My brother is generally depressed most the time; but he’ll have a few hypomanic episodes here and there (they do not last long). Plus, he’s never experienced full-blown mania.

Do you have any tips on how to cope with rapid cycling?

Melanie: I try my best to avoid triggers like negative people, too much sugar, anxiety-provoking situations and too much stress. And don’t watch the news before bed! 

It is hard to avoid stress, especially family emergencies and there is always “the unexpected”. You have to figure out what calms you down. I highly recommend meditation or hypnosis (hypnotherapy- it’s not what you think it is- not how it is portrayed on TV!). I have learned many techniques to calm down, even if it is short-lived from hypnosis. One technique that I tell people to try is counting backwards from 25, and picturing yourself writing each number down on a blackboard, one at a time, and erasing each number before writing the next. Visualization exercises help. And don’t forget to breathe. Another good one is counting backwards from 25 and picture yourself walking down a staircase, one step at a time. And each time you write down a number or walk down a step, take a deep breath! 

Breathing is important. It is very scary when your heart is racing and you feel nauseous from anxiety, because you feel like you can’t breathe. I think if you can stay calm, maybe your moods won’t change as often, or you can make it slightly more bearable for yourself.  I also recommend finding a hobby, or a distraction. Distracting your mind is very important. Recently, I bought adult “colouring books” and have been enjoying colouring in them and find it relaxing. Journaling or blogging is another great outlet- writing your feelings feels like I am getting the thoughts out of my system. 

Lauren: Some people keep a log, but that can be difficult if you have a lot of cycling, so I get help from family and friends. My spouse has bipolar as well, and is able to clue me in on different changes so we can tackle them head-on. I also try not to get upset with myself if I get into a depression funk. I have little notes around my bed so when I wake up I can see them and remind myself that it’s not permanent. Sometimes the switch in cycles is so quick, I wake up feeling a complete 180 from the day before. I’m not going to lie, some days it’s really hard to be a functioning human, but somehow I always come out ok.

Lyndsay: Visit your doctors every single month, no matter what. I used to think I only needed to see my therapist and psychiatrist when I was depressed or needed medication. Boy, was I wrong. Seeing my therapist regularly meant she could see my cycling before I could. This happened multiple times. It’s important to have someone who is unbiased (and truly, just someone else) to tell you when things are changing. We don’t always recognize it until it’s too late. By seeing your doctors regularly, together, you can catch an episode before it happens. This usually results in tweaking medication or seeing your therapist more often. That may sound awful to some, but it will help you get through the episode/cycle with minimal effects (to yourself and your loved ones).

Also, keep a mood journal. I never realized how “scheduled” my episodes were until I started keeping a journal. It was only then that I knew when I would become manic or depressed, which helped me to plan/prepare in advance. It’s made such a difference.

As for coping, don’t shut people out. I used to do that, and it only made things worse. I had to learn how to let people in, and it took me a while (by a while, I mean years). It’s much easier to handle the episodes with someone stable around you. For example, during a manic episode, my boyfriend will monitor my spending and take away my credit cards (not forcefully; we made this agreement before the episode). When I am depressed, he will be calm and understanding, and know to get me ice cream when I need it. It helps tremendously to have someone who understands the best they can, and that only comes from allowing them to come into your life completely.

What do you wish other people knew about rapid cycling?

Melanie: I wish people knew how exhausting it is. It really is like being at war with yourself. You are fighting with your mind. You want to find a neutral state, but it’s very difficult when your moods keep shifting, shifting, shifting. It’s very hard to find “a happy medium” and to find calm when your mind is always in flux.  

Rapid cycling is frustrating, and can seem scary and confusing to the person who experiences it and the people around him/her. The best way to help someone who experiences rapid cycling is to just be there! Be there by offering a hug, being patient, learning about it and lending an ear. Anyone who wants to support me, has to be willing to 1. Educate themselves and 2. Listen. 

Lauren: I wish there was a way to read it better, not just for other people but for myself as well. Sometimes people don’t get it, they will remember I was depressed/upset, and then if I am suddenly happy, but then get down again, they just give up and get frustrated that they can’t read me or track how I am. It’s not like there is a countdown timer going for each cycle. If it’s frustrating for them, how do they think I feel?

Lyndsay: I wish other people knew that rapid cycling is a part of bipolar disorder, and I don’t need pity. That might sound harsh, and I don’t mean it to be. I don’t want people walking on eggshells around me, no matter the episode I’m in. I’m not “crazy” and I will be okay; it’s simply a part of my life. If I had an employer, I would hope they would somewhat understand that I will cycle frequently, and I’ll either need time off or need accommodations. Though I suppose that’s the reason I am self-employed. I’ve gotten used to the idea that “other people” won’t understand bipolar disorder or what I go through; but I don’t expect them to. I used to get really upset at people’s ignorance, but you’ve got to understand that they don’t experience what we do, so how would they know? And that it’s okay for them not to know. As long as they try to understand, that’s enough for me.

Comments

can somebody please tell me how to post the comment? I am new to my laptop.

I am very relieved to hear your stories.I have been diagnosed with bipolar, BPD, and depression,over the course of 30 years,by different psychiatrists. I truly believe that rapid cycling is exactly what I have. I have gotten worse as I'm getting older, more vivid thoughts of suicide and just wanting the racing thoughts to stop. In a days time, my moods can change in the same hour,but when I'm down, its harder and harder to come back out of it, I have pushed just about everyone I know away from me, they judge me and say I'm crazy, heard that my whole life, and now I defend myself, I don't have insurance currently,and when I go to ER and admit myself because I feel suicidal and homicidal,so hopeless I feel like I'm living hour to hour, I'm there for 4 or 5 days on all kinds of meds, that I cant function, which in return makes me feel worse,sleeping 15 to 17 hours a day, I have been off meds since march,and every year for as long as I can remember, when summer was ending ,I can feel it coming, my mood changes, I become depressed first and then very angry,I feel like everyone I come in contact with is against me, mainly my whole family, who in my opinion makes me feel soo horrible about myself,when I'm already at rock bottom, I say a lot of very mean things that I think I mean at the time, but really that's not me,I am in defensive mode, almost like fighting for my life, literally ,because they break me down soo badly, I have never had a healthy relationship, I am very impulsive, and usually I do things without thinking of the consequences first, I have been fighting verbally with everyone who says something that I take personal, because it is , and my whole life Ive been the crazy one, I read an article that said if you were verbally, emotionally,or sexually abused as a child,the onset of bipolar can be very early in childhood,I remember in 3rd grade I started counting letters on my fingers to words being spoken or that I was listening to, to each word, it was a nervous habit I unconsciously did and still do today, my thoughts are soo fast and jump around that I do feel "crazy" and out of control, antidepressants do NOT help me, they impair me to where I am not functioning. I am so discouraged to start a new med because of how they make me feel, I used to tell myself and others, anyone who has been through what I have as a child, and adult, wouldn't be a normal person, I have PTSD on top of the bipolar, from horrific incidents in my life, my daughter ,who is 28, told me 2weeks ago, I'm washed up I'm broken, and worthless, and then it became physical, I have never had a physical altercation with her, and I got in her face and told her to leave,she started clawing my face up and hit me, we still have not spoken, but we never have been close either, I just want to believe that they will understand one day,and actually love me and want to help me, instead of looking at me like I'm the problem, I'm exhausted before I even get out of bed, sleeping is horrible every night. I feel like I am a stranger to myself at times, cant even make simple choices or decisions, in the last 4 months, both my parents have been diagnosed with cancer, I'm trying to help them, and stay strong, all while I'm a complete mess, and still having flash backs of childhood that was very dysfunctional, to say the least, I don't know If I'm coming or going half the time. three out of my 4 children aren't speaking to me... they are all Ive ever lived for, its killing me, I need help, don't know what to do next?? I cant ride the rollercoaster any longer.

Hi Tammy, we can imagine how tough this must be for you. We are deeply concerned about you and we want you to know that help is available to get you through this. If you are in a crisis, please call this number which is a crisis line with listeners trained to help you: 1-800-273-TALK (8255), as we are not a crisis center. You can also reach the Crisis Text Line by texting START to 741-741. For a list of international crisis centers visit this page:http://iasp.info/resources/Crisis_Centres/

 

If you are not in a crisis and would like someone to talk to online, we recommend the websitewww.7cups.com It’s a free, anonymous online chat with a trained listener.

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Hi there, just wanted to tell you, I loved this post.
It was helpful. Keep on posting!

Does anyone know the release date or author of this article please?

I was diagnosed ay 14. I am 38.now
my symptoms have gotten worse as I have gotten older. I am on medication. I have noticed that my fiance is my biggest trigger. He gives the silent treatment for days, he will not allow me to be with friendd. I am in love with this man but my mental health has slowly declined since we got together in 2008...

It has been such a relief and sad to find and read this article. As I read it with tears in my eyes I know at least you guys understand. I wish people around me did. It’s hard for me to process my cycling so I can’t get mad when others don’t understand. I usually withdraw and retreat. Hopefully I’ll eventually get to a point of acceptance and strength so that I can cope, it’s just sooooo hard! Even harder when I’m upset that I can’t keep it all in check on my owm. Good to know that others understand.

Genetics suck.

I stumbled on this after googling my diagnosis code. I knew I was bipolar. I knew I was rapid cycling. But I really didn't know as much as i thought about them. For 5 years of therapy my dr. didn't tell i was bipolar. for another 8 years they didn't tell me i was rapid cycling. I figured that out on my own after hearing the term. I knew my moods flipped "too much" and figured that must be what it's called. Upon googling my code I just learned I'm BP1... oh yea the worst - not 2 or 3, the milder forms (I'd had assumed i was BP2). I almost felt i also had some pyschosis... which I might also. Because my moods changed daily and throughout, and I've never heard a doctor acknowledge that before, that it could do that - that BP was allowed to do that! that i wasn't just me being insane all the time, someone who couldn't control themselves, DESPITE HOW HARD I TRIED day in and day out. And went to bed, just plain out exhausted with dealing with the world at large. Depressed with my efforts at trying to be "happy" and "normal" - "like everyone else" why couldn't it just be easy like everyone else? ---- Anyway what I meant to say was I really appreciate reading Melanie's pieces - I learned I wasn't alone. thank you.

I am literally frozen today and feel like I am breaking. I guess yesterday I was in a manic mood, I bought furniture, got my haircut suler short, bought a new purse. I felt great, I told my kids they could have slumber parties tonight. This morning, I couldnt even get out of bed to take my kids to practice and a birthday party. I just want to hide in a dark corner and cry or rock back and forth. I had to have my mom come and pick my son up for the party and my husband, got off a 12 hour shift and had to take my daughter to play practice. I feel like Im breaking inside and frozen. I literally cant move today. Words hurt, sounds hurt, the blanket touching my skin hurts. Im so exhausted of feeling this way. Its too hard....I feel like i cant function.
I have bi polar rapid cycling and NO meds help. They make me super suicidal depressed. We have tried EVERYTHING. I dont know what to do anymore.....Im just tired of it all.

We can imagine how tough this must be for you. We are deeply concerned about you and we want you to know that help is available to get you through this. If you are in a crisis, please call this number which is a crisis line with listeners trained to help you: 1-800-273-TALK (8255), as we are not a crisis center. You can also reach the Crisis Text Line by texting START to 741-741. For a list of international crisis centers visit this page:http://iasp.info/resources/Crisis_Centres/

If you are not in a crisis and would like someone to talk to online, we recommend the websitewww.7cups.com It’s a free, anonymous online chat with a trained listener.

I rapid cycle throughout the day mornings or okay afternoons or terrible and nights are better I can definitely relate to Melanie story.

Para prashing dexlexic high iq
Am i bi polar .
Extrem upa and lows .
No longer consider suiced through philosphy ie
Ever had a good time/experiance after tradedy
World ending world oyster .
Hell think i am answering my own question .
Look at random sites reasons when low for example .
Simple typing is apperent transitional .
Ok thats it bye

I have bipolar 1 and I cycle sometimes twice an hour. Sometimes it is so abrupt that I go in to a state of depersonalization. I am so sorry to sound negative but my condition is completely and utterly devastating. I don’t leave the house for a week at a time and I am in a constant cycle from depression to manic and always anxious. I take lamictal and gabapentin. I have been on every other mood stabilizer, anti psychotic, anti depressant and anxiolytics. I am very medicine resistant. I am going to begin Lithium again I haven’t taken it since I was a teenager. Keep posting tips and medicine ideas the Doctors I see have really no concern and I trust the community.

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