Back
Bipolar · Relapse

Bipolar Prodrome Map

Early signs, in the order they usually appear

TherapistAssist logo

Every episode has warning signs that appear before the episode. Your job is to know yours — because catching an episode 4 days in is much easier than 4 weeks in.

My depression prodrome (in order I usually notice)
Sleep changes, withdrawal, appetite, rumination, energy
My hypomania/mania prodrome
Sleep loss (huge signal), racing thoughts, spending, projects, sexuality, irritability
Who I'll tell within 48 hours of signs
Prescriber, therapist, trusted person
What I do first
PRN plan, sleep protection, calendar clearing, driving/money restrictions

Early is easier

No stigma attaches to catching an episode early. It's the same episode, treated with less collateral damage.

© 2026 TherapistAssist ·