stress is a big factor for me. also, sleep. and isolating. these things really get me off track. but the biggest trigger is not taking my meds. if i dont take my meds... im back at square one. ive learned over all the times ive stopped taking them or hoarded them or whatever. by getting the cops called on me, getting committed, disappointing and frustrating people... i learned the hard way that i need meds to be well. will that be true for the rest of my life? i certainly hope not. i guess thats why i invest in therapy. but i dont know the answer for sure