Lack of sleep and stress are also big triggers for me. But in terms of giving up what I love, it's mostly the other way around; I can't do what I love because of the BD, or at least I have a very hard time of it and can't do it as well as I want to. Being unable to do what I want is a big stress factor and source of frustration for me. But I can never give up my goals and ambitions. I can't and don't accept that there are things I can't do, only that there may be temporary setbacks. I always keep waiting for that moment when the BD will relent at least for a while. The day I can't hope for that anymore is the day my life loses all meaning. I guess maybe I'm too stubborn but there it is.