There's a difference between full-out psychosis and the rest of the time.

Most of the time, we are fully aware of what is right or wrong. Getting a plea of insanity is really quite rare, because most of the time we ARE fully aware of our actions - bipolar just makes us a lot more impulsive and inconsiderate.

While outside of a full-out psychosis, there are things which we can all do to help minimize. And we do need to work to make things up to the people that we hurt, because we hurt them. It doesn't matter that it was caused by our disorder; what matters is that we hurt someone else. It isn't their fault that we hurt them, and they shouldn't be the one to have to suffer further and just accept the abuse we might throw at them. It's our job to take as many precautions as we can and to take responsibility over our choices - even when we're not fully in control of them.

If someone hurt me, and didn't feel any remorse over it? I wouldn't keep contact with them. Why would I or anyone else stay around someone who doesn't care that they hurt you? Whether they're doing it out of just being a horrible person or due to a disorder is irrelevant - if the person shows when it's over that they still don't care enough to feel remorse over what they did to me, then they don't actually care about me and I wouldn't want to be around them. The difference is that if I knew someone had a disorder that messed with their brain, I'd be more likely to move forward with them and work through their hurtful behaviours.