Do you feel like you are always managing a certain level of symptoms? I feel like I don't have many clear edges to my episodes, rather it seems to be perpetually shifting. Sometimes there are clearer, steeper climbs/falls, but is almost always there in some form.

If something is going on in my life it is more likely to be an issue, but in general it doesn't seem to matter what is happening in my life. It has a course of its own.