Quotes & Sayings About Bipolar Disorder

Bipolar disorder can be a great teacher. It's a challenge, but it can set you up to be able to do almost anything else in your life. — Carrie Fisher

That's my life: continually stepping up to and away from the edge of a hole that is by turn fascinating and terrifying- filled with whatever my faulty imagination dictates at any given time. It is absolutely imperative that I keep my distance, but the closer I get, the better I feel. Or the worse, And that's the ridiculous irony because I am compulsively drawn to this danger, and the closer I get, the closer I want to be. Those depths hold unimaginable escape-at times utter exhilaration, at others, pain so intense I can't begin to describe it. Either way the edge calls to me with it's lies that sound like promises. Soft seductive lies that I can't always resist. — Ka Hancock

That was the crux. You. Only you could work on you. Nobody could force you, and if you weren't ready, then you weren't ready, and no amount of open-armed encouragement was going to change that. — Norah Vincent

Sometimes labeling is only useful, like with OCD. Once you're labeled you can be treated. On other occasions labeling leads to tyranny, like with childhood bipolar disorder in the U.S. — Jon Ronson

There is a dead space between most people and those afflicted with Mental Illness and it's called Understanding — Stanley Victor Paskavich

Maybe there's a galaxy with a planet that's just a little more tilted, with a sun that shines just a little bit darker, and that's where I'm supposed to be, where it somehow makes sense to feel this broken. — Amy Reed

Just to let you know I don't post my books and things on the net in hopes of being rich. The reason is. "I am a person with Bipolar Disorder" and they're are a lot of great minds on the "Famous Bipolar" list that died penniless. If I do the same it's no big deal but having a form of mental Illness I would love to get my name on the Bipolar list also one day. Preferably while I'm still living so I can make sure they spelled it right — Stanley Victor Paskavich

In our family "whim-wham" is code, a defanged reference to any number of moods and psychological disorders, be they depressive, manic, or schizoaffective. Back in the 1970s and '80s - when they were all straight depression - we called them "dark nights of the soul." St. John of the Cross's phrase ennobled our sickness, spiritualized it. We cut God out of it after the manic breaks started in 1986, the year my dad, brother, and I were all committed. Call it manic depression or by its new, polite name, bipolr disorder. Whichever you wish. We stick to our folklore and call it the whim-whams. — David Lovelace

Sometimes, like when she got sick, the edge comes to me. Sometimes that happens for no reason. The chasm widens inexplicably even as I run from it-run for my life-until the ground beneath me evaporates and I am lost again despite my best, but futile efforts. — Ka Hancock

Call it dysphoric mania, agitated depression, or a mixed state: nobody will understand anyway. Mania and depression at once mean the will to die and the motivation to make it happen. This is why mixed states are the most dangerous periods of mood disorders. Tearfulness and racing thoughts happen. So do agitation and guilt, fatigue and morbidity and dread. Walking late at night, trying to get murdered, happens. Trying to explain a bipolar mixed state is like trying to explain the Holy Trinity, three persons in one God: you just have to take it on faith when I tell you that the poles bend, cross, never snapping. — Elissa Washuta

Before I die I'd love to see my name on the Famous Bi Polar list I'm not ashamed of my Illness I believe most of my talent comes from it. — Stanley Victor Paskavich

Because of my bipolar disorder, I tend to these mixed states, which are depressed but loud and agitated. So I can be terribly irritable. I go to cognitive behavioral therapy in order not to yell at my children. — Ayelet Waldman

I occasionally laugh and tell him that his imperturbability is worth three hundred milligrams of lithium a day to me, and it is probably true. — Kay Redfield Jamison

To become a fad, a psychiatric diagnosis requires 3 preconditions: a pressing need, an engaging story, and influential prophets. The pressing need arises from the fact that disturbed and disturbing kids are very often encountered in clinical, school, and correctional settings. They suffered and cause suffering to those around them - making themselves noticeable to families, doctors, and teachers. Everyone feels enormous pressure to do something. Previous diagnoses (especially conduct or oppositional disorder) provided little hope and no call to action. In contrast, a diagnosis or childhood Bipolar Disorder creates a justification for medication and for expanded school services. The medications have broad and nonspecific effects that are often helpful in reducing anger, even if the diagnosis is inaccurate. — Allen Frances

I'm Bipolar but as normal as you except for the times my mind thinks like two — Stanley Victor Paskavich

In the terms of 'Mental Illness' Isn't stable a place they put horses that wish to run free? — Stanley Victor Paskavich

Saying I don't take my meds because they make me feel funny. Is like cannibals saying they don't eat clowns because the taste funny — Stanley Victor Paskavich

I have had manic-depressive illness, also known as bipolar disorder, since I was 18 years old. It is an illness that ensures that those who have it will experience a frightening, chaotic and emotional ride. It is not a gentle or easy disease. — Kay Redfield Jamison

The greatest communication barrier known to man is the lack of the common core of experience "When's the last time you had a Manic Episode Doctor"? — Stanley Victor Paskavich

Here's to adrenaline.
Here's to dramatic abandon of protocol.
Here's to treasured pain and purple rain.
Here's to chasing our souls,

burning across to sky.

Here's to drinking the ash as it falls,
and not asking why. — Virginia Petrucci

There is no common standard for education about diagnosis. Distinguishing between bipolar depression and major depressive disorder, for example, can be difficult, and mistakes are common. Misdiagnosis can be lethal. Medications that work well for some forms of depression induce agitation in others. — Kay Redfield Jamison

You may have also experienced the damaged relationships, job loss, poor school performance, substance use, and other negative outcomes that can result from having bipolar disorder. Perhaps — Ruth C. White

Other pressing problems with the current medical model [of mental disorder] is that it encourages false epidemics, most glaringly in bipolar disorder and ADHD, and the wholesale exportation of Western mental disorders and Western accounts of mental disorder. Taken together, this is leading to a pandemic of Western disease categories and treatments, while undermining the variety and richness of the human experience. — Neel Burton

One of things so bad about depression and bipolar disorder is that if you don't have prior awareness, you don't have any idea what hit you. — Kay Redfield Jamison

Most people can only sleep with a nice soft pillow I can only sleep with heavy anti psychotics — Stanley Victor Paskavich

I'm Bipolar with PTSD there's no shortage of pain inside of me — Stanley Victor Paskavich

Bipolar disorder is so swept under the rug as a nation and, I think especially, by black people. It's not our culture to go get therapy. 'Give them medicine for what?' We put people in court, put them in court again, versus really paying attention to what it is they are going through. — Trai Byers

It's almost like it's my alter ego when I get on stage ... I turn into this different person, seriously. Bipolar disorder. I'm tired of everybody touching me and things being plugged into my head. — Britney Spears

20 years, we have experienced three unanticipated fads partly precipitated by DSM-IV: a 20-fold increase in Autism Spectrum Disorder,7 a tripling of Attention-Deficit/Hyperactivity Disorder (ADHD),8 and a doubling of Bipolar Disorders.9 The most dangerous fad is a 40-fold increase in childhood Bipolar Disorders,10 stimulated, not by DSM-IV, but instead by reckless and misleading drug company marketing. Twenty percent of the U.S. population11 is taking a psychotropic drug; 7% is addicted to one; and overdoses with legal drugs now cause more emergency room visits than overdoses with illegal drugs. — Allen Frances

I have people in my family with bipolar disorder, and for years I've watched them struggle with the disorder's extreme moods and often devastating consequences. — Jenna Blum

I have just now come from a party where I was its life and soul; witticisms streamed from my lips, everyone laughed and admired me, but I went away - yes, the dash should be as long as the radius of the earth's orbit - - - - - - - - - - - and wanted to shoot myself. — Soren Kierkegaard

If you know people who are suicidal, or if you know people who are bipolar, depressed, have panic attack disorder, just be there for them. They're going through something that's very, very hard. — Eric Millegan

Fiction writers are fully ten times more likely to be bipolar than the general population, and poets are an amazing forty times more likely to struggle with the disorder. Based on statistics like these, psychologist Daniel Nettle writes, "It is hard to avoid the conclusion that most of the canon of Western culture was produced by people with a touch of madness." Essayist Brooke Allen does Nettle one better: "The Western literary tradition, it seems, has been dominated by a sorry collection of alcoholics, compulsive gamblers, manic-depressives, sexual predators, and various unfortunate combinations of two, three, or even all of the above. — Jonathan Gottschall

I get absolutely shitfaced. I am shitfaced and hyper and ten years old. I am having the time of my life. — Marya Hornbacher

Falling in love happens so suddenly that it seems, all at once, that you have always been in love. — Marya Hornbacher

Why do they always prescribe thyroid medicine to go with the mental illness cocktails they whip up? — Stanley Victor Paskavich

One of the things that baffles me (and there are quite a few) is how there can be so much lingering stigma with regards to mental illness, specifically bipolar disorder. In my opinion, living with manic depression takes a tremendous amount of balls. Not unlike a tour of Afghanistan (though the bombs and bullets, in this case, come from the inside). At times, being bipolar can be an all-consuming challenge, requiring a lot of stamina and even more courage, so if you're living with this illness and functioning at all, it's something to be proud of, not ashamed of.
They should issue medals along with the steady stream of medication. — Carrie Fisher

When I taught writing classes to psychiatric patients, I met people whose stories of manic highs and immobilizing lows appeared to be textbook descriptions of classic bipolar disorder. I met other patients who had been diagnosed with myriad disorders. No doctor seemed to agree about what they actually suffered from. — Siri Hustvedt

What if talking about your feelings doesn't fix anything? What if what you really need is to make the feelings go away? — Amy Reed

The west coast is a mecca for wild hearts, wild minds, wild spirits and I'm a WMD - I've got so much energy I'm about to explode. — Shannon Mullen

I used to think it utterly normal that I suffered from "suicidal ideation" on an almost daily basis. In other words, for as long as I can remember, the thought of ending my life came to me frequently and obsessively. — Stephen Fry

Manic depression - or bipolar disorder - is like racing up to a clifftop before diving headfirst into a cavity. Maintaining a healthy lifestyle is the psychic equivalent of an extreme sport. The manic highs - that exhilarating rush to the top of the cliff - make you feel bionic in your hyper-energized capacity for generosity, sexiness and soulfulness. You feel like you have ingested stars and are now glowing from within. It's unearned confidence-in-extremis - with an emphasis on the con, because you feel cheated once you inevitably crash into that cavity. I sometimes joke that mania is the worst kind of pyramid scheme, one that the bipolar individual doesn't even know they're building, only to find out, too late, that they're also its biggest casualty. — Diriye Osman

All it did was work me up even more, until I had to relieve it one way or another, preferably through sex. And I knew it was only going to get worse if I didn't do something about it, blue-balls the least of my worries, my bipolar disorder like a bitch in heat. — Marita A. Hansen

Sometimes I felt like I was drawn to mania. That Patrick was right, and I had loved him only during his manic episodes. That mania was true love. And it could consume you like it had consumed Patrick, or it could leave you feeling tired and used up, like it had left me. Nothing seemed to exist in between. — Andrea Lochen

Now, bipolar disorder, it goes on a spectrum. There's very severe conditions of it and there are milder ones. I'm lucky enough that it's reasonably mild in my case. — Stephen Fry

Even though I'm sleeping again, everything still feels a little rickety, like I'm here but not quite here, like I'm just a stand-in for my real self, like someone could just reach over and pinch me and I'd deflate. I thought I was feeling better, but I don't know anymore. — Amy Reed

The scientist in me worries that my happiness is nothing more than a symptom of bipolar disease, hypergraphia from a postpartum disorder. The rest of me thinks that artificially splitting off the scientist in me from the writer in me is actually a kind of cultural bipolar disorder, one that too many of us have. The scientist asks how I can call my writing vocation and not addiction. I no longer see why I should have to make that distinction. I am addicted to breathing in the same way. I write because when I don't, it is suffocating. I write because something much larger than myself comes into me that suffuses the page, the world, with meaning. Although I constantly fear that what I am writing teeters at the edge of being false, this force that drives me cannot be anything but real, or nothing will ever be real for me again. — Alice Weaver Flaherty

There is almost no evidence that diagnoses such as 'schizophrenia' and 'bipolar disorder' correspond to discrete entities ('natural kinds' in the language of philosophy). — Richard Bentall

That's what mountains do, they taunt you, lure you to the freedom of the wilderness, and it is fucking exhilarating. — Shannon Mullen

I learned that I suffered from bipolar II disorder, a less serious variant of bipolar I, which was once known as manic depression. The information was naturally frightening; up to 1 in 5 people with bipolar disorder will commit suicide, and rates may even be higher for those suffering from bipolar II. — Ayelet Waldman

And then the horror sets in. All that time I wasn't crazy; I was, in fact, crazy. It's hopeless. I'm hopeless. Bipolar disorder. Manic depression. I'm sick. It's true. It isn't going to go away. All my life, I've thought that if I just worked hard enough, it would. I've always thought that if I just pulled myself together, I'd be a good person, a calm person, a person like everyone — Marya Hornbacher

Psychiatric diagnoses are getting closer and closer to the boundary of normal," said Allen Frances. "That boundary is very populous. The most crowded boundary is the boundary with normal."
"Why?" I asked.
"There's a societal push for conformity in all ways," he said. "There's less tolerance of difference. And so maybe for some people having a label is better. It can confer a sense of hope and direction. 'Previously I was laughed at, I was picked on, no one liked me, but now I can talk to fellow bipolar sufferers on the Internet and no longer feel alone.'" He paused. "In the old days some of them may have been given a more stigmatizing label like conduct disorder or personality disorder or oppositional defiant disorder. Childhood bipolar takes the edge of guilt away from parents that maybe they created an oppositional child. — Jon Ronson

Lithium tweaks many mood-altering chemicals in the brain, and its effects are complicated. Most interesting, lithium seems to reset the body's circadian rhythm, its inner clock. In normal people, ambient conditions, especially the sun, dictate their humors and determine when they are tuckered out for the day. They're on a twenty-four-hour cycle. Bipolar people run on cycles independent of the sun. And run and run. — Sam Kean

Except you cannot outrun insanity, anymore than you can outrun your own shadow. — Alyssa Reyans

The doctor's words made me understand what happened to me was a dark, evil, and shameful secret, and by association I too was dark, evil, and shameful. While it may not have been their intention, this was the message my clouded mind received. To escape the confines of the hospital, I once again disassociated myself from my emotions and numbed myself to the pain ravaging my body and mind. I acted as if nothing was wrong and went back to performing the necessary motions to get me from one day to the next. I existed but I did not live. — Alyssa Reyans

For bipolar in adults, I think there's pretty good agreement about what this looks like. For bipolar in children, there is some considerable debate about where are the boundaries. At the mild end, are these just kids who are active? Is this the class clown at the very severe - is this something other than a mood disorder? — Thomas R. Insel

Suddenly, I'm lighter, only half of who I was. — Shannon Mullen

For some reason the word "chronic" often has to be explained. It does not mean severe, though many chronic conditions can be exceptionally serious and indeed life-threatening. No, "chronic" means persistent over time, enduring, constant. Diabetes is a chronic condition, but measles is not. With measles, you contract it and then it is gone. It can sometimes be fatal, but is never chronic. Manic depression, in other words, is something you have to learn to live with. There are therapies which may help some people to function and function for the most part happily and well. Sometimes a talking therapy, sometimes pharmaceutical intervention helps. — Stephen Fry

He loved the idea that he was mentally ill," said his daughter Monica, "and hated the idea he was an alcoholic" - that is, bipolar disorder was a bona fide illness, while alcoholism smacked of a shameful personal failing. — Blake Bailey

I like my writing career and it's progression, I'd rather be that slow moving tide that turns a mountain into a beautiful beach for all to enjoy, rather than a flash in a pan that yields no heat. — Stanley Victor Paskavich

Soon madness has worn you down. It's easier to do what it says than argue. In this way, it takes over your mind. You no longer know where it ends and you begin. You believe anything it says. You do what it tells you, no matter how extreme or absurd. If it says you're worthless, you agree. You plead for it to stop. You promise to behave. You are on your knees before it, and it laughs. — Marya Hornbacher

That's it: watch your moods. Don't let people see you fluctuate. Don't let yourself run your mouth. Never ever cry, even alone, because your cat or your kettle might tell. Always smile, but don't laugh loudly. Mania is an extrovert, but if you need to vent, tell your mattress or maybe your therapist, but put nothing in writing and never tell a friend or coworker how you're really feeling. Downplay any problem or joy. Pay attention to any signs that your life is shitty or excellent, because either is an illusion. Be careful around men, especially ones with big arms or opinions. Stop talking. — Elissa Washuta

People with bipolar disorder have difficulty with boundaries. — Claire Danes

An estimated 3.5 million people with serious mental illnesses are going without treatment (Kessler et al. 2001). That is scandalous. But mentally ill people are not the cause of the violence problem. If schizophrenia, bipolar disorder, and depression were cured, our society's problem of violence would diminish by only about 4% (Swanson 1994). — Daniel W. Webster

embrace this thing called bipolar disorder is not an easy task. You live day to day with the realization that you can lose your mind at any given moment. It's not my intention to minimize other physical ailments, because they are truly hardships as well. However, losing control of your sanity brings along with it a fear that can only be understood through the experience. — Janine Crowley Haynes

I've invaded the walls of the asylums with my ink pen. The way they look at mental illness won't be the same again — Stanley Victor Paskavich

Everything is, the way it is, for a reason. Or it isn't. Or neither. Or both. It's so hard to tell. It's so hard to tell you're a mile away by the Luke in your eye. — Alistair McHarg

My psychiatrist said I had charisma so at least I'm certified — Stanley Victor Paskavich

Like Sylvia Plath, Natalie Jeanne Champagne invites you so close to the pain and agony of her life of mental illness and addiction, which leaves you gasping from shock and laughing moments later: this is both the beauty and unique nature of her storytelling. With brilliance and courage, the author's brave and candid chronicle travels where no other memoir about mental illness and addiction has gone before. The Third Sunrise is an incredible triumph and Natalie Jeanne Champagne is without a doubt the most important new voice in this genre. — Andy Behrman

It was as if my father had given me, by way of temperament, an impossibly wild, dark, and unbroken horse. It was a horse without a name, and a horse with no experience of a bit between its teeth. My mother taught me to gentle it; gave me the discipline and love to break it; and- as Alexander had known so intuitively with Bucephalus- she understood, and taught me, that the beast was best handled by turning it toward the sun. — Kay Redfield Jamison

I AM come of a race noted for vigor of fancy and ardor of passion. Men have called me mad; but the question is not yet settled, whether madness is or is not the loftiest intelligence
whether much that is glorious
whether all that is profound
does not spring from disease of thought
from moods of mind exalted at the expense of the general intellect. They who dream by day are cognizant of many things which escape those who dream only by night. In their gray visions they obtain glimpses of eternity, and thrill, in waking, to find that they have been upon the verge of the great secret. In snatches, they learn something of the wisdom which is of good, and more of the mere knowledge which is of evil. They penetrate, however, rudderless or compassless into the vast ocean of the "light ineffable", and again, like the adventures of the Nubian geographer, "agressi sunt mare tenebrarum, quid in eo esset exploraturi".
We will say then, that I am mad. — Edgar Allan Poe

Yes I'm Bipolar but I'm as normal as you except the times when my mind thinks like two — Stanley Victor Paskavich

When you are mad, mad like this, you don't know it. Reality is what you see. When what you see shifts, departing from anyone else's reality, it's still reality to you. — Marya Hornbacher

Bipolar disorder, manic depression, depression, black dog, whatever you want to call it, is inherent in our society. It's a product of stress and in my case over-work. — Adam Ant

Where would the memoir be without bipolar writers? I mean, that's what - that whole oversharing thing is really a very clear symptom of bipolar disorder. And I'm not saying that every, you know, I'm not accusing every memoirist of being bipolar. But I think in a way it's kind of a gift. — Ayelet Waldman

I didn't realize I actually had post-traumatic stress disorder at the time, but why would I think I had that? Anyway, how would I know which was post-traumatic stress, which is addiction, which is bipolar, which is Libra? — Carrie Fisher

There may not be any romance to mental illness but who needs romance when the preferable route is agency? The prevailing conversation around mental health issues is agency and the lack thereof on the part of the mentally ill. But what do you do if you're a paid-up member of the mentally ill populace in question? Do you curl up into a ball and give up? No, you look for solutions. Ultimately, it's about keeping despair at bay and sometimes simple things like running, taking up a hobby, doing charity work, painting or, in my case, writing can be a galvanizing part of the recovery process. Keeping the brain and the body active can give life a semblance of pleasure and hope. This is what writing has done for me. I took every traumatic element of my condition and channelled it into something useful. — Diriye Osman

What most people call talent is our way to vent, and if we're not discovered it will never pay the rent. — Stanley Victor Paskavich

Blizzards, floods, volcanos, hurricanes, earthquakes: They fascinate because they nakedly reveal that Mother Nature, afflicted with bipolar disorder, is as likely to snuff us as she is to succor us. — Dean Koontz

Bipolar robs you of that which is you. It can take from you the very core of your being and replace it with something that is completely opposite of who and what you truly are. Because my bipolar went untreated for so long, I spent many years looking in the mirror and seeing a person I did not recognize or understand. Not only did bipolar rob me of my sanity, but it robbed me of my ability to see beyond the space it dictated me to look. I no longer could tell reality from fantasy, and I walked in a world no longer my own. — Alyssa Reyans

I admit I have Mental Illness so please no more 'Fruit Cakes' for Christmas Please — Stanley Victor Paskavich

I'm heavily medicated yet happily manic, I've been stuck on hypo mania for years. — Stanley Victor Paskavich

Losing even a single night's sleep can precipitate a manic episode in people with bipolar disorder who have otherwise been stable (Malkoff-Schwartz et al. 1998). In parallel, sleep deprivation can improve the mood of a person with depression, although only briefly (Harvey, 2008). — David J. Miklowitz

What is actually observed in so-called 'biplar children'? If you read the research reports carefully, they describe broad and persistent emotional dysregulation. Although these children have mood swings, they do not develop manic or hypomanic episodes. They are moody, irritable, oppositional and likely to misbehave - like all children with disruptive behavior disorders. Their grandiose thinking usually consists of little beyond boastfulness. No evidence from genetics, neurobiology, follow-up studies or treatment response shows that this syndrome has anything in common with classical bipolarity. — Joel Paris

Because of my bipolar condition I will have to take anti psychotics until I die but hopefully a handful of them won't be the last thing I taste — Stanley Victor Paskavich

Bipolar depression really got my life off track, but today I'm proud to say I am living proof that someone can live, love, and be well with bipolar disorder when they get the education, support and treatment they need. — Demi Lovato

You may have bipolar disorder, but it does not have you. It cannot have you because I have claimed you and I don't share. — Quinn Loftis

But new love only lasts so long, and then you crash back into the real people you are, and from as high as we were, it's a very long fall, and we hit the ground with a thud. — Marya Hornbacher

It takes some skill to navigate this disorder. It takes some grit to control it so it doesn't control me. Sometimes it takes a guide. For me it takes a destination. Lucy is my destination. Whether I'm cowered in a dark corner or perched on a blindingly bright plateau, my aim is always to get back to her. — Ka Hancock

I want to be more productive, funnier, better, and I can do all that while I'm climbing. But I can't sustain it. I have to crash. And I know the crash is coming, I can taste it, but I can't stop it. Well actually I can, but I always think I have more time to stop it, until I don't. And then I fall-fast and hard-and disappoint just about everybody. — Ka Hancock

I'm open about having bipolar disorder. I'm open about being of mixed race. I'm open about being bisexual, and I have this wantingness to talk about it, and for me, it's about more than being a role model for any specific community. — Halsey

Sometimes I feel the only way I can get a major publisher interested in mental illness is if I find a character who has bipolar disorder and is also a love-sick vampire attending an English school called Hogwarts. But I'm not giving up. — Pete Earley

In total, I was diagnosed with depression by eight psychotherapists and psychiatrists over a period of thirteen years. Diagnosed wrong. Absolutely wrong. My accurate diagnosis was manic depression, or what we call bipolar disorder today. — Andy Behrman

Cincinatti was where I learned that running away from your problems has a three-month statute of limitations, a lesson I have found repeatedly to be true. Three months is still a first impression
of a city, of other people, of yourself in that place. But there comes a point when you can no longer hide who you are, and the reactions of others become all too familiar ... — Stacy Pershall

I am mad. The thought calms me. I don't have to try to be sane anymore. It's over. I sleep — Marya Hornbacher

I feel sorry for every Therapist, Psychologist, and Psychiatrist I've ever met. I know I've put thoughts in their mind they will never forget. — Stanley Victor Paskavich

When you are cursed with a bipolar mind racing thoughts are the ones that you find — Stanley Victor Paskavich

If the only time a child looks as if he has bipolar disorder is when he's frustrated, that's not bipolar disorder; that's a learning disability in the domains of flexibility and frustration tolerance. — Ross W. Greene

I had developed manic depression [bipolar disorder] ... and the main symptoms the constant voice in the head telling you to kill yourself. — Sinead O'Connor

Because I teach and write about depression and bipolar illness, I am often asked what is the most important factor in treating bipolar disorder. My answer is competence. Empathy is important, but competence is essential. — Kay Redfield Jamison