Yeah, with my recent manic episode I basically asked my Tdoc the same question, however I hadn't seen her in over a year cuz I thought I was doing "just fine"....NOT.

She said "Well, what's been going on with you prior to the manic episode". So I tell her ..."uh... stress, stress and a heaping pile of STRESS!". I won't get into it all, but had lots of job stress for months, then my son got into trouble with the law- that was it for me......manic episode here I come!

She said stress.... bad stress that is, is the worst thing for BP people. The body and mind make several adjustments to compensate, but after awhile just can't take it anymore and illness ensues do to being "out of balance".