Three cases of rapid cycling affective disorders were examined from a clinical perspective. We presented several different etiologies to the rapid cycling pattern in these patients. It was revealed that the rapid mood swings were due to natural expression of the affective disorder, tricyclic induced, lithium induced, and a combination of the aforementioned etiologies. Brief reviews on factors considered to induce rapid cycling, its etiopathogensis, clinical features and treatment strategies were also presented.
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