I'm Dr. David Thomas. I'm a practicing psychotherapist in Tampa, Florida with Whitford Thomas Group speaking to you today about how to live with someone who has manic-depression. Manic-depression, often known as bipolar or manic-depression, is a mood disorder. When we talk about manic-depression we're talking about two kind of distinct types of mood dysfunction. The one is certainly the mania, and the other one is the depression. Both are difficult to cope with as a family or friend, and so how can we kind of learn to cope with someone who has manic-depression? Well first of all, it's important to realize that they do have a disorder. That often times even though it seems purposeful in their behavior, that often times they struggle with trying to make change. Certainly with the mania it's very difficult. Interestingly when someone is manic they tend to have a heightened self-esteem, a lot of grandiosity, high energy level, don't need much sleep, often times engage in high-risk behavior, often times very hedonistically self-defeating behavior with buying sprees, sexual indiscretions, things of that sort. And I guess the thing that certainly I've noticed over the years in working with folks as well as you know having family or friends who may have manic-depression, is it's tiring. So certainly having a high energy level to deal with folks who have manic-depression is very important. On the depressed side the person who tends to be depressed tends to have a very strong sense of hopelessness and helplessness, and that's a little tough too to kind of deal with on a day in, day out basis. Something most of us like to experience and be with people who tend to be optimistic and hard-working and kind of find joy in life. Unfortunately people who are depressed don't find a lot of joy in life, and often times are rarely motivated to make change. Again I think overall it's important to recognize that this is a disorder and because of that your family or friends or loved ones are going to have difficulty getting through that, certainly without medication. I'm Dr. David Thomas speaking to you today about how to cope with someone with manic-depression.