I compare myself with my former self, not with others. Not only that, I tend to compare my current self with the best I have been, which is when I have been midly manic. When I am my present "normal" self, I am far removed from when I have been my liveliest, most productive, most intense, most outgoing and effervescent. In short, for myself, I am a hard act to follow.

But money spent while manic doesn't fit into the Internal Revenue Service concept of medical expense or business loss. So after mania, when most depressed, you're given excellent reason to be even more so.

In fact, many features of hypomania--such as outgoingness, increased energy, intensified sexuality, increased risk-taking, persuasiveness, self-confidence, and heightened productivity--have been linked with increased achievement and accomplishment.

Manic-depression distorts moods and thoughts, incites dreadful behaviors, destroys the basis of rational thought, and too often erodes the desire and will to live. It is an illness that is biological in its origins, yet one that feels psychological in the experience of it, an illness that is unique in conferring advantage and pleasure, yet one that brings in its wake almost unendurable suffering and, not infrequently, suicide.

I read it as if it had been written by someone else, although it was my own experience being recounted.The endless questioning finally ended. My psychiatrist looked at me, there was no uncertainty in his voice. "Maniac-depressive illness." I admired his bluntness. I wished him locusts in his land and a pox upon his house. Silent, unbelievable rage. I smiled pleasantly. He smiled back. The war had just begun,

كان علىّ أن أحاول أن أوفق بين فكرتي عن نفسي كإنسانة تتكلم بهدوء ومنضبطة تماما, إنسانة على الأقل حساسة عموما لأمزجة ومشاعر الآخرين.. وبين امرأة ساخطة ومجنونة تماما وفاقدة لكل منافذ السيطرة على النفس والتفكير العقلاني

Several politicians and wives of politicians have been public about their experiences with depression or bipolar illness, including Lawton Chiles, Patrick Kennedy, Tipper Gore and Kitty Dukakis. Each made a tremendous difference by doing so.

There are scientists all around the world looking for the genes responsible for bipolar illness and major depression.

It's more common than not that bipolar illness will start in the teens. One of the reasons I spend a lot of time on college campuses is exactly that reason. It's terribly important to talk to students about knowing these things in advance.