Hi lands,
I agree with Moose and Tiger lily that you will still experience cycling, it just shouldn't be so extreme when you get you meds in order. If you are seeing your pdoc every 4 weeks, then it sounds like you are still working to get the right combination. I have had very extreme depression episodes that lasted for a long time, several weeks or even months. Right now, I am in a hypomanic/manic state. Even with meds, I still have extremes occasionally, which means I need to talk to my pdoc, I did so twice last week.
Were you able to make contact with your pdoc today?
Bluemountains