I think this quote talks to some of my long-term concerns. While I am super productive in hypomanic states, I know that it's sometimes all too easy to tip into a full manic episode where I am not productive at all. Will this change (i.e. get worse) as time goes on?

The difference between advantage and disadvantage in this condition, it seems, can be razor-thin. And it sounds like people are experiencing that in different ways. Thanks for starting this thread and for the thoughtful comments.