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A small percentage of people with bipolar disorder display rapid cycling, which is characterized by: four or more manic or depressive episodes every year. thoughts that shift rapidly and loosely from topic to topic. an inability to initiate or persist in even simple forms of goal-directed behavior. flat affect and a dramatic reduction in emotional responsiveness and facial expressions.

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Rapid cycling is characterized by the individual having four or more manic or depressive episodes each year. This is a normal occurrence for this small percentage of patients who have bipolar disorder characterized by the rapid cycling. These episodes can last several days, but only happen a few different times each year.

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