If I realize at the time, or it is brought to my attention later, that during an episode I said or did something that was hurtful to someone else, I am going to apologize for that. The fact that I did it while ill doesn't excuse me from the behavior. It may explain why my behavior happened, but it doesn't make the effect of that behavior any less painful for those on the receiving end. If I hurt someone I care about, no matter under what circumstances, I am going to apologize and work with my therapist to find ways to manage my symptoms in a way that hopefully will have less negative impact on those around me in the future.