It's just the nature of bipolar to be on top of the world then down in the dumps. I'm sure your psychiatrist has seen more florid examples of high mood. Bipolar is an absurd existence but it's testimony to our resilience and perseverance that we cope with it. Hang in there, i'm sure if you just do your best, that will be enough. I think it's really courageous and thank you for writing that you have trouble with basic hygiene and housework because i struggle with that too. I'm glad to know i'm not the only one.