I am just curious as to the difference between "rapid cycling" and mixed mood. I have seen people saying that their mixed moods are a rapid cycling between the two, is this as diagnosed by a pdoc? Can you truly be in a mixed state that is similar ultra rapid cycling (not caused by medications or otherwise)? When I ultra rapid cycled in hospital, it was never implied that was mixed, they actually started looking for diagnosis other than bipolar, thank god I got off those meds. My mixed states were very definitely both extremes at once, no switching, just both. Horrible. Are there other types of mixed states?