In a bad manic episode, there is a little bit of me that knows what's going on but has zero conscious control of what's happening, the grandiose delusions and my emotions pretty much have control. I have the best insight over hypo-manias, although my mouth can still get me in trouble. Usually I can ride them out as they are short. Depression I apparently have denial about, according to my therapist. I have a really hard time putting together enough depression symptoms to realize I'm depressed, unless I feel sadness (rare) or get so demotivated that I've done nothing for days. It has to get bad before I recognize depression for what it is.