What is rapid cycling like? What's a mixed episode like for you?
I'M SORRY FOR THE LONG POST! The questions I need answered are in bold.
I'm usually very depressed, but earlier this year I started on fluoxetine and 2 days after, I showed symptoms of hypomania, which lasted for 5 days and was followed by an immediate crash into depression. We immediately changed the medication and my doctor said I should stop with fluoxetine immediately because I might experience rapid cycling. I don't know what that is. The internet says if you experience 4 or more episodes a year but is that not normal?
Recently I also increased my dose of lamotrigine and I know I was still feeling the depression, but I was also very irritable, excitable, and reactive. I only have 3hrs of sleep a day but feeling relatively okay in the morning (and this is with quetiapine too lol), I wrote a lot, exchanged comments with strangers and was acting like a troll. That may be normal behavior for others but my mind was racing and I had this itch to just argue with people, I didn't eat for 2 days, I didn't drink for an entire day, I wasn't doing any self-care at all. I spent days just being online and typing. Actually it's still going on, I feel like trash, my mind is racing, I am looking for discussions I can join or arguments to have with strangers. Does anyone know if lamotrigine can cause symptoms of hypomania?
Anyway, all these to say, what are rapid cycling and mixed episodes like for you? How long do episodes last? I know my depression lasts for almost a year, even when productive I'm depressed. But there are times when symptoms of hypomania show up within the depression, they exist for a very short time, just a week, then I'm back to depression. Honestly I feel like depression might just be the baseline for me, sometimes hypomania shows up, severe depression visits more frequently.
I don't know. I just want to understand what bipolar is like for others so I can understand my experience, maybe all I need is just better regulation skills, maybe meds are really needed for episodes (if they are even considered episodes).