Stressors

1
Stressors (life events, driven behavior gt
poor social routine sleep deprivation)
Biological Vulnerability (circadian rhythm
instability)
Stigma Relationship Problems
Poor Coping Strategies
Episode
Prodromal Stage
(Jones, 2006)
2
Sensitivity to Circadian Triggers
Dysphoria
Frequent Physiological Fluctuations
Rumination
Internal Attribution For Instability
Depression
Mania
Avoidant Coping Style
Social Cognitions problems
Concentration Problems
Manic Defense
Symptoms Out Of The Blue
Unpredictable Environment
Proneness to Expressed Emotion Effects
(Jones, 2006)