Can I prevent an episode in the future?

The likelihood of an individual with bipolar depression having another episode of depression as opposed to a manic episode is very high, just as the likelihood of a bipolar individual with a recent manic episode is at greater risk for the next episode being mania.  In the majority of bipolar II patients, for every day spent hypomanic they will spend, on average, thirty-seven days depressed.  More than half of people who have been depressed will have another episode at some point in the future.  The risk for future episodes increases with more episodes of depression.  The single biggest measure you can take to prevent a future episode is to stay on medication rather than to stop it.  Other ways to lower the risk for recurrence include reducing stress levels and developing problem-solving strategies.  Exercise, good nutrition, and adequate sleep promote a healthy sense of wellness, which can ward off negative affects of stress.  In addition, a lack of adequate sleep can be associated with increased irritability, malaise, and poor functioning during the day, which may precipitate either mania or depression in someone who is vulnerable.  Some people find that the use of relaxation techniques such as meditation or yoga reduces stress levels.  Psychotherapy helps an individual develop new coping styles and insights into his or her responses to stressful events.  Increased self-awareness and self-esteem provide reduced vulnerability to situations that could precipitate an episode.  Aslo, early recognition of the signs and symptoms of either mania or depression allows for early treatment intervention, which can hasten recovery.  The single most important recommendation, however, is to stay on your medication and seek help as soon as possible when you perceive yourself slipping back into depression so that your medication can be reevaluated.