I picked once a year because for the last few years I have been stable and only really experienced depression while on these meds, I think it has been 2 episodes of major depression in 3 years. Before that I was always on or off meds so the cycle was hard to monitor. Over the last 5 years or so I have never had more than one hypo a year, lasting from 3 weeks to a couple months, then depression for months (longer and more intense than hypos)
I get so confused, I didnt realise it could cycle so quickly from day to day week to week. The only time I was like that was when I was on high doses of AD and in hopsital, there was no way I could be "free" when I was cycling that fast, getting that high then dropping to suicidal lows. I was told that was caused by medication, I had no idea it could occur 'naturally' too in BP. Now this worries me, can my BP evolve into a super rapid cycling BP?? Or am I pretty safe having the pattern I do, will that not change?
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