I worked with my therapist to identify some triggers and how best to deal with them... for the most part (when in one of my "moods") I avoid or remove myself from the triggers. Example- large crowds are a trigger for me- I had an episode once while shopping for groceries (I wanted to run people over with my buggie- HARD) and had to leave the store immediately! My meds had to be adjusted. The proper meds kept me stable when not manic, and took the edge off (so to speak) when I'm manic.