When I'm in my manic phases I'm perfect and there's nothing in me needing to be fixed. I'm also in a very destructive behavior pattern. I will pick fights with everyone and anyone, I'm in thrill seeker mode and don't really care about mine or others safety, and like you said I honestly don't give a s*** if I'm hurting someone's feelings.

When I'm "Normal" again, I do feel somewhat bad for my behavior and I do spend a lot of time apologizing and attempting to make up for what I said/did to the people who matter.

Love and caring about people are complex things. I love my girlfriend and I'd die for her but sometimes I'm plain flat out rude/mean to her. She tends to get the brunt of my anger and when I come down I feel so bad for putting her through it.