I'm Bipolar II, ultra-rapid cycling. I had psychotic features with depressive episodes in 2011 and then catatonic features with a depressive episode last month. I doubted the dx for a long time, thinking I only had depression, but it has worsened as I got older and the cycling has become more obvious.
My hypomanic episodes still aren't really a problem, but I understand that the BP dx is still important because I need different medication than someone with major depression. Anti-depressants could make me have a full-blown manic episode, and those don't look fun.
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