Excerpt. The following is an excerpt from the book Bipolar II by Ronald R. Fieve, M.D. Published by Rodale; October 2006; $22.95US/$29.95CAN; ISBN 1-59486-224-9 Copyright © 2006 Ronald R. Fieve, M.D. Bipolar Disorder and Sleep “How many hours do you sleep on average at night, and what is the quality of your sleep?” are two of the first questions I ask every patient on the initial interview and all subsequent follow-up visits. While the hypomanic usually gloats over how little sleep he needs, getting by on 3 to 4 hours a night, the lack of quality sleep can wreak havoc on his mood and decision-making abilities. Sleep deprivation results in feelings of malaise, poor concentration, and moodiness, and even accidental deaths. In a revealing sleep study published in the September 2005 issue of the Journal of the American Medical Association, Judith Owens, MD, and her team of researchers from Hasbro Children’s Hospital in Providence, Rhode Island, followed 34 pediatric resid...