My up and downs physically change with my Fibromyalgia and PsA and insomnia .... they all circle and feed off each other. My bipolar can be relatively stable but my pain skyrockets and im in bed for days then it often triggers my insomnia so there is no escape from the pain and it trips my Bipolar

It’s a bit of a vicious cycle. When it hits a 9 I take a few Xanax and hopefully pass out it’s not a sure thing. But at least I have some hope.

Absolutely worse case I take a Thorazine and check out , I just Hate the damn 2 day hangover.

I can go mixed easily