What exactly is this? I switch between up and down constantly. Sometimes a few times an hour. No breaks, no normality just up and down. I also seem to get depressed at the same time as having rapid thoughts. I get the effects of depression and mania at the same time. Flashbacks too. I'm fairly stable right now on 1500 mg Valproate, 30 mg of Ablify (+ Inderall to stop the Akethisis), Mirtazapine 45mg. I have been through all sorts of combinations and this so far is the best but I'm wondering about Topamax after reading about it being good for people who cycle rapidly.