Our expert says:
As long as you maintain a healthy scepticism about labelling, etc., the use of a required code on billing shouldn't affect you, should it ?
The trouble with manic episodes is that, at least in the early stages, it can be rather enjoyable, and the person may be understandably reluctant to seek or take treatment.
But though, again, in the early stages, it might enhance at least one's energy if not necessarily creativity as such, this soon passes to a stage where you may be entranced by the brilliance of your ideas, which appear silly or incoherent to others - we lose our quality of judgement and self-criticism. One may be more productive, but not necessarily in a way that anyone else values.
I have known some brilliant bipolar folks, like the late superb comedian Spike Milligan. In his normal state, and mildly high, he was one of the funniest people alive. As he got higher, his humour became more twisted and less funny, and eventually nobody enjoyed it at all, finally including even him. And of course his depressions were awful for him.
Its a matter of proportion. Sleep a bit less for a few days - fine. Sleep very little for several days, and the impact on your ability to think and function fruitfully can be major, and again, not necessarily noticed by you.
Sometimes, antidepressants can over-shoot in treating depression, and precipitate a manic episode ; the reverse doesn't seem to occur.
And you may well be fortunate enough, as your description suggests, to have milder mood swings, perhaps sub-clinical and not enough to be the major handicaps they can be for others.
And I'm pleased you have found a doc who feels brilliant and who is someone you can talk things over with - that's worth a lot !
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