Usually not. However, I would say if I am having any mood issues in the Fall/Winter they are slightly on the lower end, with perhaps some mixed stuff going on. That said, my husband told me yesterday that I had been a bit "up" for quite a while up until our Thanksgiving vacation.
My worst episodes (manic or manic/mixed) have usually been in the spring. Sometimes they start as early as March, but usually in April/May. I have a well documented history of this. These are usually emergency level bad. Since my birthday and anniversary are in the spring, I have been quite unwell on those days -- even hospitalized or in an IOP on them.
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