Mixed episodes - when a person experiences aspects of both depression and mania or hypomania at the same time. Sometimes mania is prominent, sometimes depression. (See also Dysphoria.) # Rapid cycling - when episodes occur four times or more per year. Subtypes are: * Ultra-rapid cycling - when episodes occur monthly or more frequently. * Ultradian rapid cycling - cycling more than once a day (also called ultra-ultra-rapid cycling
Van Gogh is considered to have been affected by bipolar disorder and this painting captures the vibrancy associated with mania. in the hospital for mentally disturbed people