Environmental factors such as stress, sleep disruption, and drug or alcohol use may also trigger manic-depressive episodes, so maintaining a healthy lifestyle is important -- proper nutrition and sleep, handling stress, finding a support network and psychotherapy can all help manage bipolar disorder.
I'm settled into the first stability I have ever had as an adult. I have been living in the same place for the longest time since I left my childhood home. I am mostly glad I decided to live, and vastly grateful that I managed to pay into Social Security every year from the age of 15 to the age of 53. Most of all, it is good to live without hiding.
The problem with using the word dramatic to describe my own expression of emotion is that I am not intentionally seeking out to attract attention. I have been consistently feeling emotions in an intense way for 35 years of my life. So it may be a jolt to you, but to me it is what it is like to live inside my brain every day. It's exhausting.