The sleep thing is short-term so you can't do it often. (Maybe 2 days at the most?) However sleep deprivation is generally a trigger for most people with BP and can lead to hypomania/mania.

Even though it is something you've heard over and over again....it's probably best you see your doctor or at least email them. I emailed mine today and I'm temporarily increasing the lithium I take for the next 2 weeks until I see her. You don't need an appointment for a small med adjustment unless they decide to change your script completely. (Like if he said to take 50 mg more Wellbutrin you could use your current script and have him mail you a new one for the next week)

I think keeping busy and feeling like you're on a mission to complete something like NotCrazy may work too. ALSO if school stress is a BIG trigger for you, take up yoga and meditation. It won't get rid of the mood swing, but it will help with anxiety and some depression.

Don't get yourself addicted to caffeine. I had a headache all day because I didn't have coffee. -__-