Hmm... I did a quick google search and couldn't find anything about Joaquin Phoenix and Quentin Tarantino having BP. At best, all I could find was Quentin Tarantino talking about one of Leonardo DiCaprio's on-screen characters having undiagnosed BP. Of course, that's not to say that Joaquin Phoenix and Quentin Tarantino DON'T have BP, but I just couldn't find anything. Maybe I'm searching the wrong terms?
But anyways, I don't *fully* know how people with BP cope in Hollywood in general. Now, I know this may sound crazy, but... Carrie Fisher (whom I absolutely adored) was posting pics of herself on Instagram a few days before she died where she was surrounded by drinks. Close friends had even suspected she had relapsed on drugs around the same time. Both of those things, IMO, likely lead to her cardiac arrest.
I'd venture to say that a lot of people with BP (in general) turn to drugs and alcohol -- even the biggest celebs like Carrie Fisher. I'm not saying they SHOULD do that, but I'm just saying they do in order to cope. Even Demi Lovato did/does the same with drugs and alcohol (I'm not sure if she's sober yet, as I think she had a recent relapse).
Then you have people like Kanye West. He says he has bipolar, but he was legit bragging about having a bipolar diagnosis (calling it his "superpower" and whatnot), so I don't know if he does or does not have BP. Either way, I think we can all agree the guy is mentally ill and delusional, and he admits he doesn't take meds. I think he spends most of his time being delusional, though, rather than depressed, so maybe he isn't even aware of his delusions, hence it's "easier" for him to cope in that state of mind than people who are experiencing severe depression.
I'd say that a lot of them are lucky, though, yes. But some (like Carrie Fisher via Debbie Reynolds and Eddie Fisher) had connections to get their career started.
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