Looking back I can see it but at the time I thought I wS just tired, so I got married and dropped out one semester short of graduating with a double major. I had been working full time, had two book clubs and D&D group and another group was in school full time and dating....so looking back that looks like hypo mania.
I was crashing and getting married seemed like an out from all the crazy ness. Nonetheless my marriage was a huge failure as the guy I married was an abuser.

Second question, if I had gotten help when I first seriously considered suicide as a freshman...or in HS....perhaps. The thing is back then they were very big on AD and those cause me big time full out psychic mania. So I just might have gotten on the revolving hospital ride sooner? But I would have avoided the marriage too. So who can say?

I went back in my late forties and making good grades and friends was easy but physically I was falling apart. I was even working as a tutor on campus! But pain kept interfering then I found out my spine was deteriorating. Dealing with that was full time and I couldn't keep on.

So short answer yes my illness interfered drastically followed by physical illness that may have been highly influenced by my years of over prescribed psych meds and homelessness.