It was both being under stress and fear of humiliation that caused a psychotic break 3 1/2 years ago. I was not medicated at the time and my manic episode turned mix episode (it was hard to know one from the other) lasted from March to Oct (according to my mother it started even earlier than march).

Since then, my moods can either be triggered by things such as charismatic Christians and fluctuations in my hormones or they can just occur without a trigger.