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Butch alternates between periods of dark despair and times of elation, great energy, recklessness, and creativity. Butch suffers from bipolar disorder.

Bipolar disorder (formerly called manic-depressive illness or manic depression) is a mental disorder that causes unusual shifts in mood, energy, activity levels, concentration, and the ability to carry out day-to-day tasks. Bipolar disorder is typically diagnosed during late adolescence (teen years) or early adulthood.

Bipolar disorder can also first appear during a woman's pregnancy or following childbirth. Although the symptoms may vary over time, bipolar disorder usually requires lifelong treatment. Bipolar disorder is treated with medications and psychological counselling (psychotherapy).

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