8 Tips to Keep Spring Mania at Bay

Staff
By Staff
7 Min Read

If your bipolar disorder tends to follow a seasonal pattern, you may have an increased risk for spring mania. Fortunately, maintaining awareness, consistently taking medication, and making lifestyle changes can help reduce the chances you’ll experience a manic episode, or help tamp down the negative effects if you do.

“Some people learn to recognize their increasing restlessness in early spring and then take steps to prevent the feelings from escalating,” says Dr. Alpert.

Here are experts’ top strategies for managing spring mania:

1. Stick to Your Medication Plan

Your medications help keep your bipolar symptoms, including mania, in check. Always talk to your doctor before making any changes to your treatment regimen, and don’t stop taking your meds without their guidance. Doing so can cause you to experience withdrawal symptoms, as well as new or worsening symptoms like mania.

2. Consider Trying Interpersonal and Social Rhythm Therapy

Interpersonal and social rhythm therapy (IPSRT) is a type of talk therapy in which mental health professionals help people with bipolar disorder understand and manage their biological and social rhythms. It aims to help people develop more consistent routines and build skills to cope with upcoming changes to day-to-day schedules, like switching jobs or taking a trip.
Together with other therapies, medication, and lifestyle strategies, IPSRT can help people detect mood changes and reduce their risk of future manic or depressive episodes. Specifically, it appears to reduce symptoms of anxiety, depression, and mania among people with bipolar disorder, as well as improve their ability to stick with their medication regimens.

3. Set a Consistent Daily Routine — and Make It Nonnegotiable

Chris Aiken, MD, encourages his patients to designate and stick to consistent times for meals, exercise, socializing, and sleep. “Sleep and wake periods in particular should be kept consistent,” says Dr. Aiken, the editor-in-chief of the Carlat Psychiatry Report and director of Psych Partners in Winston-Salem, North Carolina.

The reason: Having a consistent routine, especially for sleep and wake times, can help keep your mood stable and reduce the risk of manic and depressive episodes.

Aiken suggests leaning on digital calendars, voice reminders, or even Post-it notes to help you stick to your schedule.

4. Limit Your Light Exposure During Spring and Summer

Light helps regulate the body’s circadian rhythms, as well as its release of melatonin. People with bipolar disorder seem to be more sensitive to light and its effects on the circadian rhythm. That’s why people with bipolar disorder can find that adjusting their light exposure to the time of year helps keep their moods stable.

During spring and summer, when daylight is longer, heavy-duty blackout shades for work and home are a must for Rosenthal. “I enjoy the sun in spring and summer, but after the third week in May, I limit exposure to light after 3 p.m.,” she says. In the winter, when daylight is shorter, Rosenthal reverses her efforts to make sure she gets enough light before the sun sets.

5. Make Your Bedroom a ‘No Screens’ Zone

Good sleep hygiene is critical for people with sensitive circadian rhythms. Aiken recommends keeping all electronic screens — including cell phones, laptops, and TV — outside the bedroom, keeping things quiet, and maintaining a cool temperature and complete darkness for optimal sleep. Light from electronic devices can confuse the brain and keep you awake longer, he adds.

6. Avoid ‘All-Nighters’

The energy that comes with mania makes it easy to stay up all night, but the consequences can be serious. “You just can’t allow that, even if you think you’d rather ‘be productive’ all night,” says Rosenthal.

One way to calm yourself before bedtime is to master mindfulness, says Rosenthal. Mindfulness in meditation involves intentionally focusing on the present moment rather than thinking about the past or future.

This practice has many health benefits, including potentially helping people with sleep issues get a better night’s sleep.

Some smartphone apps that offer guided meditations focusing on mindfulness are the Healthy Minds Program and Insight Timer.

7. Steer Clear of Caffeine and Alcohol

Stimulant medications are known to be potential triggers of manic symptoms, which is why many people with bipolar disorder choose to avoid them when treating conditions like ADHD. But even common stimulants like caffeine can be problematic. Abrupt increases in caffeine intake appear to be associated with mania among people with bipolar disorder, according to one systematic review. However, the researchers note, this evidence isn’t conclusive.
Be sure to avoid substances like alcohol too, because alcohol can also make bipolar symptoms worse, research shows. What’s more, people with bipolar disorder have an increased risk of developing an alcohol use disorder compared with the general population. Having both conditions is linked to an increased risk of mood episodes and suicide.

8. Eliminate Long-Distance Travel During the Spring

Rapidly traversing multiple time zones can cause jet lag, leading to mood changes in people with sensitive circadian rhythms.

Knowing this, Rosenthal skips far-away conferences during critical periods. “Air travel gets me even more jacked up than I normally am in spring, so there are events I don’t attend in person, even if I feel fine,” she says.

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