sorry am so late answering and believe it or not just getting around to learning navigation. Bit of a senior citizen here but trying to get a handle on things. Yes, triggers can make things worse, and some of them are inevitable life's events, while others are more complated. Symptoms have come and gone over years, approx 50, and I'm sixty. Have gone for long periods of time where I was feeling more "normal" but that doesn't always last. Have had all kinds of treatment and meds and keep going and changing as needed. Focus on lifestyle and enjoying little things as well. Laughter, gratitude, etc., all help. I wish you the best and would love to hear how you are doing. Please feel free to PM if desired.