Ok DH, but I wouldn't exactly call that disorganized, more like cognotive dysfuction. I was like that really badly when my moods were extreme, but I was also on a lot of medications and I could not tell what was causing what. However reading so many posts here, I honestly think the extreme moods caused more of my cognitive problems then the medications.

You have also dealt with psychosis as did I. I know that cognitive problems and psychosis go hand in hand. It is a big problem with schizophrenia. When I would come out of a long psychotic episode my cognitive functioning was so impaired, writing my own name would be difficult and it would take months to get to a better point, not a normal point mind you, was still bad. But if you are always in a state of flux there is not enough time for this to improve.

So I wonder if that is the reason for this. You have been in mixed moods for so long and have had some psychosis as well which I think both impact cognitive funtion a lot. Like a badly bruised brain.

I don't know if that's it for you, I thought I was always going to be like that and keep getting worse. But when I got my moods stable over tine it has come back together, not 100% maybe, but much much better over a long period of time.

Maybe the brain can not handle that much constant stress and overload so it starts to shut off lesser needed funtions in order to keep running the funtions needed to stay alive like breathing.

I dunno, that's all I was able to make of it. I really really had a hard time with this. I complained to my pdoc many times. It was having a huge impact on my life and abilities to even manage small tasks so I know how bad it is. It's a big deal.