I tend to be always cycling somehow. Sometimes it is more and sometimes it is less but I'm considered to be in some degree of mixed state at all times. Until 2009 I was pretty much always at some extreme and then I started an MAOI and adjusted my Seroquel to accommodate that and did really, really well for over a year. But I caught whooping cough at work (long story but I was allergic to the shots and there was an outbreak that the local drs diligently diagnosed as pneumonia so I was exposed and then exposed a bunch of my patients before I was really sick) and that and the treatments for it really threw me for a loop. Since then I've had a harder time being stable but my extremes have not been as extreme until my current episode which has lasted 6 months and was really difficult to treat although it seems to be getting better now. (I never trust it until it stays better for some time). Menopause seems to have been a very big help with bipolar for me. This current episode is the only really bad one I had for 2 years and that's huge for me, especially since the last 15 months have been incredibly stressful. There were smaller ones that always reacted to medication adjustments which never used to happen for me and then this. There's no telling what happens next; I hope that the new medication lets me go a long time without another episode after this one ends but I could also have just been thrown into another round of episodes that hopefully won't be as bad as this one.

I'm consistently inconsistent.