To earn a rapid cycling badge, a person has to have four or more episodes in a year.
Good times! I can’t begin to imagine what that’s like with full-blown
mania. Hypomania and depression are enough, thanks!
Before I got an accurate diagnosis and serviceable meds, I
rarely went two weeks before starting a new episode. Up, down, up, down, up,
down. It took years of work to figure out my baseline, i.e., what it feels
like to just be me.
I still have 4–10 days every few weeks when I’m very up,
very down, or first one and then the other. I know some of my triggers: stress,
lack of sleep, too much alcohol or caffeine. But some episodes come out of the
blue.
Rapid cycling means you never know. It means you can be in
the middle of an exceptionally bad day before you realize, “Oh, this is
depressive irritability” or whatever. And then you’re supposed to have the
presence of mind to apply the tools that help you minimize any damage.
Which is to say, it gets the jump on you, and because of
this, rapid cycling means saying you’re sorry, a lot.
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