Seoultous: for some people, including, it very much counts. I am now in an IOP, and several group facilitators are bipolar sufferers themselves. The one who leads the group on WRAP (Wellness and recovery action plan) says that for her, just getting out of bed is part of the daily maintenance plan. It is not easy for her on some days to simply get out of bed. I had depressions in the past when I would lie in bed until... once it was until 6PM. Horrible, I know.