I don't know if this happens but I feel like my bipolar has gotten much worse. I am under too much stress right now but my mood swings have become the most rapid they have ever been and my manias are way worse.

I feel as if I just crashed from a hypomanic episode and now I have to face the music and I am afraid too.

I havn't slept in the last week and somehow i just realized what I did and how it affected me. I had a bunch of school assignments due yesterday and today and i ended up not doing the ones that were due yesterday.

Last night i some how managed to become hyper sexual and hook up with people as I scheduled a date tonight. Instead of working on my paper and my powerpoint last night, I danced and sang around the living room with my dog and and paced back and forth with delusions of grander.

After that i decided to stay up till 3AM and watch CNBC'S The Profit and lecture my mother about retail and business as I planned on waking up early to go to school early so that I would be ready for my date and so that I could start and complete my paper and my powerpoint that is due at noon.

I woke up at 9 and decided to take a spa like shower and shave and, basically get ready as if I am giving a talk at Yale. After singing and dancing in the shower, i decided to find the "perfect" outfit for my presentation/date. I threw on my black skinny jeans, Toms, A Cat in outer space teeshirt, and an extra large suit jacket that i wore at my heaviest weight.

I then decided that I was "ready" and egan listening to music and dancing to the train. I got on the train an continued to blast my music in my ears and dance to it in my seat making a fool out of my self.

Then as I got to school, I hooked up with a guy in the bathroom and then at 11:30, i decided to work on the powerpoint and paper that was due at noon.

Finally, at 12:50 I entered my class confident and excited that I my presentation was going to kick every one's butt.

I gave my presentation and every one loved it (in my mind I heard every one clapping and mumbling about how great it was).

I then went and hooked up with another guy in an office upstairs and finally after all of this I am in the academic center of my school crashing. I feel as if I am currently "hypo manic" but I really just want to eat and go to sleep but I committed to this stupid date.

I feel like my lithium dosage might not be working. Does bipolar progress or get worse, including medication tolerance?