My T-doc mentioned that hormonal changes can bring on an episode. I am sometimes very much ruled by my hormones. I know that my first real depression came on at age 19 and the more I think about it, the more I recognize manic behavior as a high school student. I know for sure that having my first son threw me into a hypomanic state, and having my second threw me into a depression with varying degrees of severity and mixed states which lasted two years. I just came out of that episode a couple of weeks ago.

I do believe that hormones play a big role in my mood states.