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Bipolar seems to be so difficult to diagnose for various reasons. I read somewhere that when someone is mostly depressed and they have some positive emotions, are happy, excited, whatever, it can seem like hypomania because they're so used to being depressed, it appears to them to be extreme. Though this is something you're noticing and not her.
I think it can also be hard to tell the difference between a lot of anxiety and hypomania, I know when I'm very anxious I get really revved up, distracted, can speak rapidly, trouble sleeping, etc. For me it just *feels* very different than a sort of mania and I can figure out a reason why I'm anxious, but it can appear very similar. There's also the issue of BPD where moods change several to many times in a given day. Of course this can happen with ultra-rapid-cycling, it exists, but from what I've read, I don't think it's very common, though who really knows.
Does she see a psychiatrist regularly? Maybe she can get re-evaluated. Of course it would be ideal if she were to see a pdoc while she is the way she is now. Otherwise, maybe you could help her write down what's been going on lately to show her pdoc.
She's lucky to have a friend like you who's so concerned about her!
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