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Whereas, most psychiatric conditions vacillate within a single register between symptom exacerbation and various degrees of recovery, those attempting to fully understand bipolar disorder must contend with the fact that exacerbations come in two distinct flavors manias and depressions and that often these exacerbations can take any of a nearly infinite number of combinations of these two mood disturbances
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Peter de Keizer at Erasmus University Medical Center
Common contributors to ongoing anxiety include: Imbalanced neurotransmitters (low serotonin, GABA, dopamine) Chronic stress and overactive cortisol levels Vitamin or mineral deficiencies, such as in vitamin D, magnesium, and B vitamins Lack of sleep or poor sleep quality Inflammation and oxidative stress, which can be caused by a poor diet and other factors Gut microbiome imbalances Hormonal imbalances (especially during perimenopause or PMS, or those associated with PMDD) Genetics, trauma, or personality traits ADHD (for more on this connection, read: ADHD and Anxiety: How to Tell the Difference and What to Do About It ) In women in particular, anxiety can be the result of hormonal fluctuations 2 throughout the menstrual cycle, pregnancy, postpartum period, or perimenopause
We think that the truth lies somewhere in the middle , and we agree with Dr