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In addition to the factors already mentioned that affect my cognition to where I am loopy and have memory issues, I would add insomnia or poor sleeping. Poor sleeping for me also raises my stress and anxiety levels, which don't help.
Drinking alcohol didn't help my cognition either.
In mania, my brain is amped up and I make poor decisions, but I am not confused or at a loss for words.
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A virtual  to all in a time of physical social distancing!
Trying to practice coping tools to live in my own skin more gently, peacefully, & comfortably One Day a Time (sometimes one breath at a time) 
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