Hi there,
Yes the challenge of insight. As someone diagnosed with bipolar 1 back in 2011, it's been an interesting journey and one which I have written about and published - being diagnosed at the age of 44 was a little surprising and also being the first in the family - though I am sure was father definitely should have received a bipolar diagnosis and his mother too.
So what to do? Well, I have been on a journey of self-education to try and calm my mind and deal with both head pains and exhaustion/ ebbing and flowing energy levels. It is not easy. But I have learn about our multiple brains - see www.mbraining.com - and I check in moreso nowadays with my heart brains to explore how I am feeling and my gut brain to check I am align to my path, my values and my gut instinct. This has changed who I am, what I do and what I achieve in life. This has taken almost 50 years to achieve. Thank goodness I have a healthy sense of humour and do not take myself seriously.
The challenge I find is to focus on the longer terms goals and explore the options I can achieve in the short that best serve going forward on the journey of healing and recovery. I ask myself - what to do for maximum value and minimum effort. That helps. So maximum value and minimum effort, stay on my anti-psychotic medication to ensure I avoid psychosis (once is enough in one lifetime for me) and maintain good sleep patterns. I have a fitbit with which I monitor sleep, exercise and I am on the way to regaining a healthy weight. This takes time and I have developed, I guess, a healthy compassion towards myself.
Hope this is some value. Thank you. Dave.