intermediatekindlingbipolar disordermood stabilizerillness progressionneural sensitizationprophylaxis
A 48-year-old man with bipolar I disorder has had progressively shorter inter-episode intervals over the past 20 years. His first manic episode followed a major life stressor, but his recent episodes appear to occur spontaneously without identifiable triggers. His PMHNP uses the kindling model to explain this clinical observation. Which of the following best describes the kindling hypothesis as applied to bipolar disorder?