MANIFESTATION

Triggers
The following situations may bring on a person’s first episode of mania or depression.

• Stress
• Not having a regular sleep schedule
• Alcohol or drugs
• Stopping your medicine
• Starting medicines for depression (in some cases), or other medicines and herbal products
• Having thyroid problems and other medical conditions
• Seasonal changes
• Holidays
• Illness
• Disagreements with family or friends
• Problems at work
• The death of a loved one
• Marriage
• Starting college
• Starting a new job

Signs and Symptoms
The above triggers can bring on the following signs and symptoms of a bipolar disorder. They can be different in each person, making it difficult to diagnose. There are, however, some key indicators of the illness. The symptoms are what the person with a possible bipolar disorder feels or thinks. Signs are what others around them see as red flags of a bipolar disorder.

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