My psychiatrist and I were one time wondering if I might be schizo-affective disorder instead of bipolar because i was having delusional thoughts outside of obvious mood episodes but he eventually settled back on bipolar because my constant dysfunction is in the area of mood, my complaints are about ongoing depression and a lack of interest in things outside a very small world. The good news is that world is expanding. I am finding a fitbit very helpful in monitoring my sleep. i also am losing insight the more delusional i get when I start to believe intrusive thoughts that get stronger and more persistent.

That's why I take a low dose AP every day.