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?

It’s hard for non-bipolar people to identify with this, but when I have bipolar depression, I don’t want anything. It doesn’t matter what it is, it doesn’t matter how I used to feel about it, it doesn’t matter how good an idea it seems, I just don’t want it with bipolar depression, and that’s it.

I have bipolar disorder and self-harm urges. No, this doesn't mean my diagnosis is wrong, it just means that I happen to have a mental health issue outside of my bipolar diagnosis. But let me be clear: I deny my self-harm urges. Even though I want to hurt myself, I don't. But this hurts. If the only thing in the world that you wanted to do had to be denied, wouldn't it hurt you, too?

Some argue that professionals shouldn’t talk about Trump’s mental health, mostly comparing him to anyone else. For example, I wouldn’t want, nor would I think it was appropriate, for a mental health professional to make judgments about my mental health based solely on my public actions. But then again, I’m not The President of the United States. And that makes the situation just a wee bit different. It’s because of this that professionals should openly talk about Trump’s mental health and fitness as a president.

People often ask me how to help a friend through a bipolar mood episode. These are great friends that I can honestly say, anyone with any illness should treasure. So many people turn their backs on people with serious mental illness, so when a person actually wants to help, well, we love you. If you’re a friend who wants to help someone through a bipolar mood episode, consider these things.

I don’t think euphoria in bipolar hypomania feels like extreme happiness. I use the word “euphoria,” which does mean “extreme happiness” but the word only partially fits my experience (Bipolar Mania and the Impact of Manic Symptoms). “Euphoria” is what doctors call one of the “gateway criteria” for bipolar hypomania or mania (one of the main characteristics) so many people with bipolar disorder experience. And sometimes I do experience something like euphoria in bipolar hypomania but bipolar hypomania euphoria just doesn’t feel like its real definition to me.

Angry, frustrated, irritated and anxious – did I ever mention that bipolar mania, hypomania and depression are not the only mood/emotional states of my bipolar disorder? While most of these aren’t, technically, symptoms of bipolar disorder, they are common expressions of, or occur with, bipolar disorder. So, sometimes, instead of being “simply” depressed or hypomanic, I also feel dramatically anxious, frustrated, angry or irritated.