Is that possible? I know when I saw a pdoc he said that if you have constant triggers/stresses that your symptoms can go haywire, but this is going on for a long long time now. I still have extreme episodes with psychosis. But this is like non stop. When before I might have an episode every year or so requiring hospitalization but have minimal depression. Now it seems I am depressed most times with an occassional outburst of mania to extreme mania. Whats up?