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Might I Have Bipolar Disorder?

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I wonder if I might have ultradian cycling bipolar disorder. I am 23 now. When I was a sophomore in high school I had a depressive episode. When I am was a sophomore in college I had a Zoloft induced manic episode where I became so impulsive and irritable that I was a threat to myself. However lately, say for the past year, my mood swings enormously in a single 24 hour period. I often go from suicidal(ex:no one loves me, I cannot go on living it is too painful, melancholy despair) to euphoric/very happy (ex:life is wonderful, I am extremely grateful, joy and bliss) in a single day. I also frequently have racing thought and sometimes trouble sleeping due to them. What should I do?

Might I Have Bipolar Disorder?

Answered by on -


A: What you need to do is talk to your psychiatrist about the changes in your symptoms, and if you don’t have a psychiatrist, you need to find one. You may have read that ultradian cycling Bipolar Disorder is basically very rapid cycling. The traditional definition of rapid cycling is having more than 4 episodes per year. People who have more than 4 episodes a month are considered ultra-rapid cyclers and those who switch within a day, more than 4 days per week are termed ultra-ultra rapid or ultradian cyclers.

Rapid Cycling Bipolar can sometimes be harder to treat in terms of medications and dosages, so it is very important to work closely with a specialist and to follow treatment suggestions, giving frequent feedback to your doctor. If you don’t already have a psychiatrist, I would suggest that you speak with your family doctor or the university counseling center and have them give you some referrals. Also, therapy can help you identify symptoms and triggers, as well as teach you coping skills and self-care techniques. It is also possible that after consulting with a therapist and psychiatrist, that you will not be diagnosed with Bipolar Disorder. Either way, you need to get to the bottom of what is causing your symptoms. I hope that you get some relief soon.

All the best,

Dr. Holly Counts

Might I Have Bipolar Disorder?

Holly Counts, Psy.D.

Dr. Holly Counts is a licensed Clinical Psychologist. She utilizes a mind, body and spirit approach to healing. Dr. Counts received her Bachelor’s degree in Psychology from Wright State University and her Masters and Doctoral degrees in Clinical Psychology from Nova Southeastern University. Dr. Counts has worked in a variety of settings and has specialized in trauma and abuse, relationship issues, health psychology, women’s issues, adolescence, GLBT, life transitions and grief counseling. She has specialty training in guided imagery, EMDR, EFT, hypnosis and using intuition to heal. Her current passion involves integrating holistic and alternative approaches to health and healing with psychology.

APA Reference
Counts, H. (2018). Might I Have Bipolar Disorder?. Psych Central. Retrieved on May 24, 2019, from
Scientifically Reviewed
Last updated: 8 May 2018
Last reviewed: By a member of our scientific advisory board on 8 May 2018
Published on Psych All rights reserved.