If your manias have changed over the years, or even your depressions.
I have always taken care of myself and my disorder pretty darn well, but regardless of how
well I work and my drs and therapists work, things change and catch me off guard. Just when I am becoming accustomed to how a mania looks, it has changed and gotten me in trouble because I was unable to recognize I was 'off'. I can do pretty well with depression, recognizing it, monitoring it. My manias are more challenging.