When I was 16 I was seeing a therapist and a physiologist in tandem for six months to get over a prior trauma. They had me on Lexapro (depression) and Adderall (ADD) and it was thought that this combination was what switched on the bipolar side of my brain. I started having the episodes after I lost my Adderall and decided to see if I still needed ADD medication. It was not long after that the manic episodes started. At the time I was in a bad place, I was lonely and dating a jerk and when the mania came I just let it take the wheel. Had no real use for therapy for the bi polar the medication brought me back to 20/20 for the most part. I would still go in the beginning but they would just look at me confused since I was fine and write a prescription. I have not had a serious issue with bipolar in over a decade. The new doctor says I am 'bipolar unspecified' but I like the term 'same day cycle' that I was given when I was diagnosed.

I was watching a video on ultradian cycling and it was said that it just falls under the second part of the definition of a mixed episode. "Episodes that fall under rapid succession." but I cant find anything that backs that. (sure it exists but cant find it)