Someone once said to me the truest statement I've ever heard:
"Bipolar is a selfish disease."
The facts are there.
If you are not focusing on yourself almost all the time, are not keenly honed in on yourself to the point you are aware of the slightest changes in yourself. ...
You are most likely not effectively managing your mental illness.
You must catch yourself when you have a mood swing.
If you fail, you'll get a surprise AFTER you realize it with regretting whatever it is you did or said.
If you do not pay attention to your sleep, food, exercise, stress, anxiety, triggers, and that long list of other things to manage. ...
You'll figure out how badly you screwed up after you realize you weren't paying attention.
All these things that you must pay attention to within yourself is ONLY to make sure those surrounding you do not get dragged through hell by being around you.
How messed up is that?
To effectively live we need to be extremely selfish in nature to make sure we are thinking of others.
Such an obscure truth.