Another possible cause of rapid cycling is known as kindling, or sensitization. This theory says that initial episodes happen when actual or expected life events cause stress. The person becomes increasingly sensitive to things that may trigger the cycles, and they become more likely to follow this pattern over time.
Rapid cycling feels like your mind is playing tricks on you. You are sad one minute, hyper the next, giddy, and then back to sad, teary, and wanting to hide. It's very confusing and it's scary how fast your mood can change and change and change.
Effective treatments for some patients with rapid-cycling bipolar disorder currently include lithium, divalproex, lamotrigine, carbamazepine, atypical antipsychotics, and psychosocial therapy.
Rapid cycling bipolar disorder is a serious condition that can increase the likelihood of suicide. That's why it's so important to follow your treatment plan and keep your doctor informed about your symptoms and state of mind.
When Rapid Cycling occurs, it means that four or more manic, hypomanic, or depressive episodes have taken place within a twelve-month period. Changes in mood here can happen quickly and occur over a few days or even over a few hours. If there are four mood changes within a month, it is called ultra-rapid cycling.
In rapid-cycling bipolar disorder, mood swings may be random and unpredictable. There is usually no set pattern as to when an episode might occur and what form it may take. In some cases, the episodes may cycle every few months; in others, the cycling may occur monthly or weekly.
A stressful circumstance or situation often triggers the symptoms of bipolar disorder. Examples of stressful triggers include: the breakdown of a relationship. physical, sexual or emotional abuse.
The duration of mood episodes varies from several days to several months, with usually a period of remission in between. The frequency of mood changes (cycling) also varies, with four or more episodes per year classified as rapid cycling.
Bipolar I disorder is defined by manic episodes that last at least 7 days (most of the day, nearly every day) or when manic symptoms are so severe that hospital care is needed. Usually, separate depressive episodes occur as well, typically lasting at least 2 weeks.
Racing thoughts involve rapid thoughts that can be fast-moving, repetitive, and overwhelming. They often involve multiple topics, move quickly from one thought to the next, and seem to come out of nowhere.
Bipolar Triggers and Warning Signs
Bipolar disorder features extreme shifts in mood that are unpredictable and often disruptive to daily functioning. Changes in sleep patterns, eating habits, emotions, and behaviors accompany the mood swings.
Although there is no official classification for end stage bipolar disorder, mild structural changes in the brain that lead to cognitive dysfunction can severely reduce someone's quality of life, especially toward the end of life.
Experts believe bipolar disorder is partly caused by an underlying problem with specific brain circuits and the functioning of brain chemicals called neurotransmitters. Three brain chemicals -- norepinephrine (noradrenaline), serotonin, and dopamine -- are involved in both brain and bodily functions.
Factors such as stress, poor sleep, and even seasonal changes can play a role in triggering your bipolar symptoms. Learn how you can reduce your risk of bipolar episodes and better manage your condition.
Prescription medication is one of the primary ways doctors treat bipolar disorder. Doctors often prescribe a variety of medications for the disorder. Mood stabilizers such as lithium (Lithobid) are usually part of the mix. Lithium can help treat symptoms of bipolar disorder.
Lamotrigine. Lamotrigine (Lamictal) may be the most effective mood stabilizer for depression in bipolar disorder, but is not as helpful for mania. The starting dose of lamotrigine should be very low and increased very slowly over four weeks or more.
Signs a Manic Episode Is Ending
Slowing down and feeling less urgent and pressured all the time. Feeling more tired and getting more sleep. Being able to think more clearly, even if your memories of the manic episode are fuzzy. Making fewer impulsive decisions.
70,000 Thoughts Per Day - International Bipolar Foundation.
Drugs with a definite propensity to cause manic symptoms include levodopa, corticosteroids and anabolic-androgenic steroids. Antidepressants of the tricyclic and monoamine oxidase inhibitor classes can induce mania in patients with pre-existing bipolar affective disorder.
Childhood trauma
Some experts believe that experiencing a lot of emotional distress as a child can cause bipolar disorder to develop. This could be because childhood trauma and distress can have a big effect on your ability to manage your emotions. This can include experiences like: Neglect.