A major life change (such as divorce, marriage or job loss).A highly stimulating situation or environment (for example, lots of noise, bright lights or large crowds).Knowing your triggers can help you prepare for an episode, lessen the effect of an episode or prevent it from happening at all. As outside observers, they may notice changes from your usual behavior more easily than you do. Ask family and close friends who you trust and have close contact with to help identify your triggers. You’ll have to become a bit of a detective and monitor your mood (even keeping a “mood diary”) and start to track how you feel before an episode and when it occurs. Manic episode triggers are unique to each person. Many people with a bipolar I disorder diagnosis have recurring, back-to-back manic episodes with very few episodes of depression. Most people have both episodes of both mania and depression, but you don’t have to have depression to be diagnosed with mania. To be diagnosed with bipolar I disorder, you have to have at least one episode of mania that lasts for at least seven days or have an episode that is so severe that it requires hospitalization.
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