First thing that pops into my mind is that a lot of people I know who have trouble with routine do not necessarily have BD.

I am a very routine person, and a lot of that has to do with my outrageous anxiety. Like Gabyunbound, if I don't do "this" at the "right" time I become extremely anxious and even that can set off a mixed state, which I so fear.

That said, for almost a year I have had major trouble with my sleep routine. Not insomnia (meds help knock me out), but actually going to bed. I used to be in bed every single night by 10 p.m. Usually even earlier. Now I am up until about 1 a.m. because I can't seem to stop doing things. And I'm messed up from doing that with my sleep schedule. The most obvious thing to me is that my mind is much more unfocused...like, 100 thoughts, sounds, feelings are happening all at once and ...well, that's what I mean: I have totally forgotten what I was writing about.