Rapid Cyling and Mixed State Bipolar

When someone experiences 4 or more moodswings within a year, they have rapid cycling bipolar disorder. Sometimes these swings from manic to depressive happen within hours..

Also some people experience both mania and depression at the same time or
mixed state bipolar disorder. Now you are really talking about a rollercoaster ride. How confusing it must be to be up and down at the same time. I find it hard to imagine.