Functioning and bipolar disorder is a constant struggle. I know this is true not just for me, but for so many with serious mental illness. And part of the oddity of my functioning with bipolar disorder is that if I stop functioning, being productive, I just won’t start again.

Because of my bipolar disorder, I fake happiness – a lot – like, all the time; like, every time I leave the house. This is due to several factors but, obviously, one of the primary ones is that I, typically, am not actually happy. I am, typically, depressed. And people don’t like that. People don’t like constantly-depressed people. So my bipolar disorder forces me to fake happiness.

There are nasty effects on bipolar when I suffer from a lack of sleep. Luckily for me, I usually do have a decent sleep thanks to my medications but, sometimes, my body just decides to wake up at 3:00 a.m. and refuses to go back to sleep. I know this happens to many people but I also know that most people don’t have bipolar disorder. And I know that, for me, if I have a lack of sleep it really affects my bipolar disorder negatively.

I write about some things that can trigger those with depression so it’s important for readers to know how to deal with depression triggers in blog posts. Understanding how to deal with depression-triggering blog posts can protect you from negative emotional effects and worsening symptoms.

Recently, I’ve lost my ability to become sexually aroused/experience sexual pleasure because of my bipolar medication. You’d think of all the possible side effects, this wouldn’t be that bad. After all, I could be constantly dizzy and nauseous, gaining weight or having blood sugar/pressure problems. So, loss of sexual arousal/pleasure because of bipolar medication must be a walk in the park then. Well, I’m not finding it that way.

I hate it when people say, “failure is not an option,” because, especially with bipolar, failure is always an option. And by saying “Failure is not an option,” people make it sound like failure is bad. But we all need to accept that failure is an option, and a viable one. We need to accept that with bipolar, failure happens.

When I work too hard, I find myself in too much pain thanks to bipolar disorder. I push through when I should stop, and work and work only to find myself waking up one day so sick I can barely move. Work is kind of the bane of my existence. Necessary for existence? Yes. Pleasant? Not in the least. This is eminently clear to me right now as I woke up in extreme pain thanks to bipolar and working too hard.

Living with bipolar disorder is chock full of uncertainty. You never know when you might be well. You never know when you might be acutely depressed. You never know when mania might make you psychotic. And you never know when it might be the day when you need the hospital. If that isn’t uncertainty, I don’t know what it. And while everyone lives with uncertainty, the uncertainties that come with bipolar disorder are so very hard to live with.

Travel can make my bipolar disorder worse. Knowing this can make me fear travel. It's not that I don't like travel; theoretically, I like travel. I’ve done quite a lot of it, actually – I’ve been to 12 countries. Nevertheless, the older I get, the nastier my bipolar becomes and the more my bipolar disorder is worsened by travel. There are good reasons for this but there are also ways to mitigate it.

It’s important to celebrate the small achievements in bipolar disorder. I have written about this before, in fact. But what does a small win in bipolar disorder look like? How do you celebrate a small achievement in bipolar disorder?