For me it's been more of a gradual decline, not so much specific to being in an episode. I got really sick a couple years ago, and i've never fully recovered. I am functioning pretty high, but compared to how i used to be it's not very good. I used to think quickly and more creatively, and i didn't miss anything. Now it's a struggle to concentrate and learn new things, and i feel like most people are smarter than me. When i compare myself to how i was 10 years ago it's even more noticeable. I worry that i will continue to slip, until eventually the deficits will be so great that i won't be able to work anymore. I think it's cognitive effects of years of untreated bipolar, made worse by getting severely ill, and compounded by meds. I don't think other people notice the change unless they have known me for a long time. But i notice it, and it really bothers me. Also, my functioning was worse recently when i was depressed, but it's a little better now.

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