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Old Sep 21, 2018, 11:15 AM
Anonymous46341
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People can rapid cycle with no mixed episodes. Are you referring to ultra or ultra rapid cycling?

I had a year where I had rapid cycling (4 or more episodes in a year period). One or two episodes were pure depression, one a pure manic, and maybe two or three where they started pure manic and ended mixed (simultaneously depressed and manic). They were all separated by periods of stability or threshold stability.