I have bp1, went from probable but undxed cyclothymia. I have never had hallucinations or delusions, just manic behavior as described on the list, lack of sleep, goal directed behavior, hypersexual, activities with painful consequences, interspersed with severe depressions, I had 2 of each in one year, thus my dx of bp1 in 06. With medication I have been able to keep my episodes down pretty well, I've had one big episode in 10 that was most likely triggered by my pdoc adding prozac to my effexor and a short one this spring caused by caffeinated diet pills. I do have blips with spring and fall but they are minor and always caught and kept short. My ther says this is cause I am not in denial, for me taking my meds is never a question. If I don't feel right I call and say fix it. All this despite having been through 5 pdocs because of their moving or retiring. I only fired 1 and he was the one who gave me prozac then acted offended that I ended up in the hospital (my one and only time). I dont really feel like its gotten worse, I think my anxiety problems are what cause me to have more difficulty with the idea of work. Not to mention I was a stay at home mom for 18 yrs and out of the work force.