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In both cases, ‘up states’ are usually followed by down or depressive periods, although the balance of up to down varies from each individual.

Most can manage their disorder through medication and therapy.

I can also fall in love with someone I barely know when we are having sex.” A sexual carnival Reading through the Reddit threads and the internet’s bipolar forums about the experience of hypersexuality – it sounds like a sexual – and emotional – carnival.

Sometimes the acts of have no apparent consequences, other times there are heart-wrenching repercussions.

I’d always known he struggled with high and low moods.

But it wasn’t until the intimate aspect of our relationship fell apart that I realised, perhaps selfishly, that something else was wrong.

But as Dr Nick Craddock points out, dealing with a mismatch in sex drives is a problem for many couples, irrespective of bipolar.

Now I know I was pretty much the worst choice he could have made.Hours lost to masturbating; the impromptu orgies; the damage caused to marriages by extra-marital affairs or the risk of seeking out more and more extreme sexual activities in order to try and “scratch an itch which can never be scratched”, as one web user puts it. Those with a more liberal approach to sexuality in general seem to cope better, probably because they don’t worry so much about being considered promiscuous.But the notion of feeling out of control is what really seems to gnaw at sufferers’ self-esteem, as well as affecting their relationships.“This could be anything from same-sex encounters to sex in public.“Given the social double standard we have around male and female sexuality, women in particular can find themselves ‘shamed’ for what they get up to.

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