I've experienced both. Usually, it's sudden, but sometimes not, especially when heading toward depression. Getting hypomanic tends to be more sudden for me, but once there, I will gradually work up to full-blown mania if I don't put a stop to it.
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Bipolar 1, PTSD, anorexia, panic disorder, ADHD
Seroquel, Cymbalta, propanolol, buspirone, Trazodone, gabapentin, lamotrigine, hydroxyzine,
There's a crack in everything. That is how the light gets in.
--Leonard Cohen
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