Hi. Yes, I'm mixed state, rapid cycling; so I'm constantly having to adjust what I'm doing to suit the day/time. My doc trusts me to adjust my meds depending on the day. You just need a high level of self-awareness ie your triggers and warning signs, so you can react quickly if you're going too far one way. To address both my mania and depression the right way I just try to keep a balanced and flexible treatment plan in place. Does this help? Is that even what you asked hehe? good luck, take care. keep us posted on your progress.