When we were in Slovenia a couple weeks ago, Cecie and I did an interview for a televised report on bipolar disorder. The interviewer asked me what it was like to be married to someone with bipolar disorder. I stammered and stuttered, not really sure how to answer and then offered up some feeble response about how terrible it is during the manias, but how normal it is most of the time.

Last week, Joe posted a piece entitled "Bipolar Dilemma: Insensitive Jerk or Irresponsible Oaf?" in an attempt to spark a discussion and collect insights on what to do when you sense that your loved one with bipolar is exhibiting symptoms of mania or hypomania. This week, Dr. Fink weighs in. Dr. Fink Replies... This dilemma lies at the heart of so much of the strife that families living with bipolar disorder face every day. I don't have any magic answers – I suspect that people living with these challenges have creative solutions that will be more helpful to others than anything the doctor might have to offer.

When you're in a relationship with someone who has bipolar disorder and seems to be exhibiting symptoms of mania or hypomania, you're likely to face the dilemma of whether to say anything:

Some time ago, on our other blog, Bipolar Blog, a visitor posted a piece in our Share Your Bipolar Story section entitled "Bipolar Extramarital Affair," which generated some discussion. Recently, another visitor commented on that story about the need to make some allowances for bipolar: "Allowances must be made. Not to do so is unfair because it [bipolar] holds people to unrealistic standards and disappointment becomes the inevitable outcome." He goes on to say that "You have two choices: moderate the behaviors and/or moderate the expectations."

Bipolar mania can really foul up the family dynamic. One minute, your family is cruising along on autopilot, and the next minute you're in a tailspin. It can begin innocently enough with a barely perceptible increase in irritability and criticism, and then quickly escalate into knock-down, drag-out conflicts, all of which contribute to worsening the mania.

Susan Asks... Hi, I have just recently been diagnosed with BPD. I have been on an antidepressant for years because I have suffered from depression (or what I was told was just depression) many years ago. Well recently I left my husband for the 2nd time and bought a car (that I couldn't afford) and then of course had the depression really set in hard. Worse than ever.

Folk singer-songwriter Cathy-Anne McClintock has just released her self-titled debut album, which includes a track entitled "Up" based on her personal experience growing up with her mother who has bipolar ...

In Bipolar Disorder for Dummies, we talk a little about the differences in how bipolar mania is seen from the outside as opposed to how it is experienced from the inside. Inside, a person experiencing mania may feel... I am amazing! Everything is wonderful! I can do anything and everything! I have all the answers! My ideas will revolutionize the world! Sleep is only for people who have nothing better to do! Everybody loves me! Outsiders may have a completely different perspective, saying or at least thinking...

Bipolar disorder affects more than the individual who has it – it affects everyone it touches, especially family members, and can in turn be affected by the words and behaviors of others. In my family, for example, when my wife starts cycling into mania, I tend to get depressed. Our son becomes borderline abusive. Our daughter gets confused and defensive. All of our reactions seem to feed into the bipolar, worsening the mania.

I work at home. My wife (who has bipolar) works for the local school district. Several times during the year are difficult for us. It seems, for example, that when we "spring forward" for daylight savings time, we almost invariably spring into mania. We do okay over the summer. When she returns to work in the fall, sometimes we do okay, sometimes not. The Christmas break is also usually a bad time.