4. Lack of proper sleep
Patients with bipolar disorders usually have severe sleeping problems due to their overly active state of mind. This may lead to insomnia in the most severe cases or make it difficult to fall asleep or maintain sleep for the whole night.
Patients with bipolar disorder often wake up in the middle of the night or very early in the morning and go around the house, waking up everybody else with or without intent. In severe manic episodes with psychosis, they may also incur in abnormal behaviour such as turning up the music and the lights regardless of everybody else in the house or going out for a walk in the middle of the night and collecting trash in the streets.