My understanding is that monitoring sleep and nutrition can help reduce the time in between episodes. Did anything in particular coincide with previous mania moments? I've a cousin whom, when first diagnosed it was explained to me, through family that along with her genetic predisposition along her paternal side, was they suspected the anaesthesia from a major surgery brought it to a head. I am unaware of how often she may suffer with bouts, but I do know she pays careful attention to her emotional wellbeing, best she can.

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