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Lesson 4 of 24

Bipolar Early Warning Signs: Pick 4 That Are Yours

A small, provisional card: up to two changes you have noticed going up, up to two going down, what else was happening, and one move you can make now. It supports describing and contacting earlier. It does not diagnose an episode, predict relapse or prescribe treatment.

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If you only have two minutes

Complete only these three, and that is a complete card.

  1. One candidate change
  2. One confidence label — known / possible / uncertain
  3. One first move

What this lesson is for

The useful moment is earlier than the obvious one. Most plans start once everything is already clear, which is exactly when they are hardest to use. This card starts earlier, and it is useful because it is small: up to two changes going up, up to two going down, what else was going on, and one first move you can make before you are certain of anything.

A signal is personal, not universal. The test is not whether something appears on a list. It is whether it is meaningfully different from what is usual for you. Six hours of sleep is an ordinary Tuesday for your neighbor and a sharp departure for you.

You leave with one Starter Early-Change Card you can hand to a professional, and one first move you can make before you are certain of anything.

Only in the video

Three things happen in the video that a page cannot do.

  • The word that ruins most cards. Clara takes the most commonly written warning sign apart and shows what to write instead — the difference between a description and a verdict, on a real example.
  • A fictional first move, chosen out loud, including why the small ones work best when you are least certain.
  • What to do when the first move is urgent help, said plainly and without drama.

This Program does not recommend a medicine, compare doses, select a treatment, or tell you to start, stop, restart, taper, change or combine anything. If you're considering a change, contact the professional who knows your situation before you act — and if it's urgent, use an urgent route.

Sources for this lesson →

The Bipolar Stability Program

Twenty-four short lessons. One workbook. Free.

Each lesson is a short video and one chapter you can print and write on. You don't sign up, you don't give an email, and there's nothing to pay — not now, not later.

René has lived with bipolar disorder for over 25 years. He built this program out of the 14 months he spent in a hospital psychoeducation group, the published Barcelona manual, and the sources psychiatry actually works from. It's a syllabus: the map and the words to take to the people who treat you.

You're on lesson 4 of 24.

See all 24 lessons
  1. Newly Diagnosed With Bipolar? Write This Page First
  2. What Is Bipolar Disorder? (And What It Isn't)
  3. Bipolar Sleep: 3 Short Nights That Mean Different Things
  4. Bipolar Early Warning Signs: Pick 4 That Are Yours
  5. What Is My Bipolar Medication Actually For?
  6. Bipolar Life Chart: How to Map Your Mood History
  7. Bipolar 1 vs Bipolar 2: What the Number Really Means
  8. Hypomania Signs Others Often Notice Before You Do
  9. Manic and Depressed at the Same Time? Mixed Features
  10. Bipolar Disorder or Something Else? Thyroid, Trauma, ADHD
  11. Alcohol, Cannabis, and Bipolar Disorder: What to Notice
  12. Bipolar Triggers: What Adds Pressure—and What Protects You
  13. Bipolar Psychiatry Appointment: Make the Short Visit Count
  14. I Feel Fine. Why Am I Still on Bipolar Medication?
  15. Bipolar Side Effects: What to Track and When to Call
  16. Thinking About Stopping Bipolar Medication? Start Here
  17. Bipolar Disorder and Pregnancy: Questions to Ask Early
  18. Does Therapy Help Bipolar Disorder? What the Evidence Says
  19. Bipolar Warning Signs: Subtle, Clear, and Urgent
  20. How to Draft a Bipolar Crisis Plan—Before You Need It
  21. I Think a Bipolar Episode Is Starting—What Should I Do?
  22. How to Build a Routine That Helps With Bipolar Disorder
  23. Life After a Bipolar Episode: Work, Money, and Relationships
  24. Grieving the Person You Were: Bipolar and Identity
How the program works →

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