This is one of the parts of BP that just sucks. For years when I was working I couldn't sleep until 2-3 AM and then I had trouble getting up to go to work because I hadn't had enough sleep. Then after I went on Emsam and Nuvigil combined I started falling asleep at 11 PM and waking at 4 AM every night. It worked really well for me I thought but my therapist says it was awful and that he was afraid that he was going to have to be the one to tell me that I couldn't work anymore because I was so unstable. Instead I had surgical complications and that did the job for him. Now that I'm on the right mix of meds for me I have a weird sleep cycle that I hate but which does work for me.

Even though working was so hard I still wish I could do it, even part-time. There's no way I could be on clozaril and work though.