It has changed, depending on where I am with my illness. During my worst years, mania symptoms like impulsivity, disinhibition, and psychosis were the most problematic. Sometimes anxiety has been a real challenge. Nowadays, I'm more level, but still have occasional bouts of irritability (more like rage/ranting), especially as stress levels rise.

I'm trying very hard to manage my stress, but I'm not doing so perfectly. Really, it has been harder and harder to manage stress since maybe 16 years ago.