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Then he would hit the "down" side and sink into the depths of depression.These wild swings put stress on his marriage and threatened to run his family's finances into the ground.Take my friend Jerome, hired one summer to drive a van full of rich and annoying European teenagers across the country. I didn't hear Sara's story until later, but it didn't have many funny parts.Somewhere in the Midwest, without telling the kids or his employer or anyone else where he was going, he simply got out at a gas station and walked away. Her condition was rooted in a childhood depression that began when her father died suddenly of stomach cancer. Then came her diagnosis, and years of experimenting with different psychiatric drugs until her doctors found the magic combination.When Jim Mc Nulty, 58, of Burrillville, Rhode Island, got married in the 1970s, everything seemed fine at first."It was an absolutely normal courtship," he recalls. During his "up" or hypomanic states, he would spend huge sums of money he didn't have.From a distance, I'd seen how much energy it took Nyla to keep her episodes under control: weekly doctor's visits, blood tests, complicated regimens of medications.

Periods of mania and depression can stay for months at a time – meaning we don’t wake up feeling as though we have the world at our feet in the morning, for it to feel as though it’s closing in on us by that evening.Again, we’re not constantly at one of two extremes – there are also periods of feeling ‘normal’, which allow us to process things more sensibly, and think clearly.The word ‘manic’ is incredibly daunting, and possibly not the best word to describe the actual symptoms.Haltzman is clinical assistant professor in the Brown University department of psychiatry and human behavior.He's also medical director of NRI Community Services in Woonsocket, R. and author of The Secrets of Happily Married Men and The Secrets of Happily Married Women."I hope it doesn't scare you off."Panicked thoughts raced through my mind. This was the odd humor Sara and I had already established, but I wasn't entirely joking.