Yes, definitely causes issues. Though he says all the right things and I am the ***** I am awful. He really is super great, but I don't think I actually love him. Or rather I can't discern my feelings because I am so different sometimes. We got together before I was dxd. I think when I met him I was hypo. He was there for me during my first major episode and dx, then we were married, he has been there through all of the craziness. This second major episode I have been super awful to him. Telling him I don't think I love him and not sure if I want to stay together, making plans in case we get divorced. I really don't know where I am at or what I want at this point. So yes, my MI def. has an impact.