I'm diagnosed as schizoeffective and seem to bounce from hypomania to depression and have a manic thing happen about once per year. Hypos can last days to months and depression has lasted more than a year. I can't seem to figure out too much rhyme or reason to it all other than stress and weather can shift me from what I've noticed. My husband says I've been stuck in a fight or flight mode since my son got sick about 10 years ago and that rings true to my observations as well. I'm either fighting or hiding and oftentimes I'm doing both simultaneously.