I cycle really quickly, hence my ultra-rapid cycling diagnosis.
I distinguish between moods and cycles by whether the emotion fits reality or is reasonable. When all of a sudden my mood shifts extremely with no trigger or justification, then I figure it's a chemical shift.
Like BastetsMuse said, this happens WAY much when I'm in a mixed episode, sometimes within a day in time frames like what you said.
If I had a day like you described, I would evaluate it based on how intense the changes felt.
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Dx: Bipolar II, ultra rapid cycling but meds help with the severity of cycling.
Rx: lamictal, seroquel, lithium
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