I have PTSD and anxiety in addition to BP, more prone to depressive episodes than maniac. Some of the symptoms overlap between all three, however. For the BP, if not regulated-

It is that when I am depressed: I cannot function as putting one foot in front of the other is hard enough let alone getting out of bed to get into work is an issue. So showing up is an important part of keeping a job.

When hypomanic or manic: I have problems concentrating and with focus especially with the insomnia; am easily distracted; am disorganized and flighty, not finishing what I start; am irritable; and if have grandiose thoughts, it impacts what I think I can do and get done, then taking on too much and promising more than I can do. I also tend to have no filter with what I say in this state and am brutally honest; some things are best left unsaid. All harms working relationships and job performance. It is hard to keep a job this way too.

It took a long time to find the right combination of medications and therapy. I was stable for some time, got off of SSDI and with my Mom passing and Dad being diagnosed with stage 4 prostate cancer with a a few months left, I have been thrown for a loop. A started to slide and now cannot work at all, despite meds and therapy. I am back on SSDI again, much to my dismay and thankful all at the same time time.