I have never really slept well, but it really has not had a negative effect until recent years. I used to have very productive nights and could manage many tasks because I had 20 hour days. Now I panic every night that I might not sleep because I am so sensitive. In the last few months. I have had some really bad manic episodes that would have likely landed me in the hospital if an adult had witnessed them. I am on sleep meds that work well with the antipsychotic to manage me. I am STILL adjusting to this idea that I have to operate with fewer hours in my day and that I actually feel tired at night when I am consistent with my meds. Full-blown mania is not what I want so, I comply.