This is a well-written, candid and insightful account of the author's experience of bipolar disorder. Dr. Diven's form of the illness is characterized by depression, anxiety, and great bursts of activity and energy (the latter identified by what his psychiatrist called the Five S's: speed, speech, sex, sleep and spending). Diven and his family are fortunate in that he was generally able to function capably in his career as a physician, that he was generally free of rage and irritability, and that (after diagnosis) he generally retained insight into his condition and his need for medical treatment. I highly recommend the book for those whose experience of bipolar disorder is similar to the author's.

I would rate the book higher, but apart from passing reference and one chapter near the end of the book, Dr. Diven unfortunately says little about his marriage. He credits his wife of 30-some years with great patience, and cites several cases where she provided needed stability or acted to moderate the excesses caused by the disorder. He does not say much about her character, but she appears to have a certain emotional grounding that must have helped her compensate for and adapt to the unsteadiness of a bipolar relationship.

Dr. Diven makes it clear through at least a couple of examples that his wife's ability to communicate with his psychiatrist -- including occasional participation in sessions -- was instrumental in securing medical treatment or rendering the treatment more effective. Dr. Diven seems somewhat baffled by his marriage's survival, but I think the reader can detect the explanation from the author's likability, commitment to recovery, and general concern to do the best he could in life given the range of personal characteristics with which he was endowed.

Diven's thoughts on the spiritual dimension of bipolar disorder may interest some. Unfortunately, just as with his reflections on his relationship, the reader is left wanting more.