Thanks for your advice, In group therapy we did make make action plans, I didn't cover these types of warning signs in it tho. So I'll get it out and add to it. I am getting quicker to realize what is happening when it it happening. Only took me 14 years to get there haha.

I take lithium on the regular, I still cycle every month or two, when I hit a mixed episode I'll reluctantly add seroquel or clorpromazine. However it seems to only lessen the extreme for me. I think maybe this is more of a medication problem then now that I think about it.

I just feel extremely guilty taxing my family with this illness . I am pretty mild tempered but I am pretty sensitive. I guess I wish I could find a way to gap the cycles.

Thanks for the advise, I will try that out and see if it helps.