I am not sure exactly how often I cycle. Reason being My pain is a huge issue and it effects my Bipolar . Then top it off with unrelenting Insomnia well how could I possible answer your poll ?

Bipolar is such a unique thing. I honestly don't give a damn about DSM guidelines .. They are not " real time" They are used as a tool for a doctor to submit a bill to insurance companies for payment. Even most Doctors roll there eyes about the damn waste of time "guidelines"

I know you bring up how rare it is for people to rapid cycle and ultra cycle etc .. But your only taking in to consideration what a " study" says .. Not what the real world numbers could be, there are more people not treated for Bipolar than that are. I went 30+ plus years before I was actually given a diagnosis .. My mood were ridiculous but not reported so I seriously have doubts about just how accurate these "studies" really are

I'm sure there are many people that do fit into a perfect slot .. But most don't so who really gives a damn ? and If you do .. Please explain to me what the big deal or hyper interest is about it? Of course only if you want to share.

I mean no offense with my reply I am just curious.