Springtime can trigger seasonal affective disorder (SAD) in both those with depression and bipolar disorder. For those of us with bipolar disorder, SAD can trigger mania and hypomania. The stressors of these changes contributed to my psychiatric hospitalization a decade ago.

As spring has approached and the days have lengthened, I have had mild symptoms of hypomania, including insomnia, which I addressed with my psychiatrist by reducing my SSRI dose. We left my dosage of divalproex (Depakote) the same. Initially, we tried halving my dose of the SSRI escitalopram (Lexapro) to 2.5 mg for six days, with the intent of removing the SSRI altogether. But I found myself unable to stay awake during the daytime, so I remain on 2.5 mg.

To me, spring is a cacophony of noises accompanying the frenzy of renewed life. The days are longer. The birds build nests and make it known loudly and clearly with their calls that they are mating and starting anew. All that springtime bursting and bustling of new life, is stimulating, and for me, overstimulating.