Gravyyy,

I'm pretty certain it's the disease itself. I first started to notice it before I taking any bp meds. There are fMRI studies that indicate bp episodes can impair function in the prefrontal cortex of the brain, inhibiting higher brain function. The bp meds, particularly Seroquel, have helped me quite a bit, but it's still more or less debilitating, but at least it doesn't hurt as bad.