Change often causes me to switch into an episode or increased mental health issues in general. A vacation is a trigger. It might be the chicken or the egg scenario though. I've planned trips out of my means while manic. However, sometimes something positive will happen, such as a vacation that was planned while not being manic, but it'll push me over the edge into hypo/manic territory.

Change affects my anxiety and agitation level. If it is a positive change, it often starts with elation and not sleeping. If a positive change happens while I'm manic and then snowballs into something negative, it isn't uncommon for me to experience a mixed episode. Lately, I'm trying to just live in the moment and not plan too many things, since I know I can't handle too much change right now. It's definitely a trigger.

I'm glad you have your appointment on Monday and that you have insight into what is going on with you, so that you'll get the help you need with this.