Is it a bipolar mixed episode, ultra rapid cycling, or just “mood lability”?

mixed episode face

Putting a label on what’s happening to one’s mood can sometimes be difficult for people with bipolar disorder (BP). Having visited bipolar online forums for years, I encountered the questions in the title quite often. I know what is written in the Diagnostic and Statistical Manual of Mental Disorders – Fifth Edition (DSM-5) and highly-regarded textbooks on the disorder, but that hasn’t always cleared up my occasional confusion, either. Some questions have been mostly answered, but others not fully. Truth is, answers can vary by mental health expert. Even the teams of doctors and consultants working on the DSM debated on some of its contents. Regardless, I hope some of what’s in this post is interesting food for thought. Continue reading