What are your first signs of relapse? Have relapses been gradual or rapid?
When I recently lowered my dose I felt almost like my old self, but could feel some nervousness and annoyance plus the return of some negative thinking. I was worried this may be the start of relapse and went back up on the medication.
I get weird feeling in my head, like I’m being taken over, and bouts of disorganisation in my writings and start getting paranoid or irritable or anxious. Or I’d hear voices more.
Lack of sleep is my biggie. Suicidal ideation with firm plans is another. Florid psychosis is yet another. But I think these are all in my past never to return.
Irritabilty - the want to self medicate with beer. And i will stop eating. And of course the positives will creep in, sometimes with insight, and sometimes ive lost it and dont realise it.
The CMHT usually gets the heads up, cos i will start leaving them “strange” messages.
I find myself Googling for signs of recent alien phenomena to support my incresed delusional thinking. One of the things on my “watch list” for my weekly journal check-in is to check my search history to see if I’m doing this. Doesn’t work because I tend to go incognito to search for lame things.
Well for mania not sleeping is a big red flag or being really, really happy. For a mixed state agitation is my first sign, when I get that feeling I know there’s something going on. For psychosis I think I tend to stare off into space and I get this sensation that thing aren’t real or I’m in a dream. For depression I isolate and sleep and sometimes stop eating.