Depression can cause the person to withdraw completely from everything -- and everyone -- around him or her.
"If you're a partner with someone, it's very frustrating," Haltzman says.
"I've seen dozens of couples come through the door with their marriage in tatters." Bipolar disorder "puts a huge additional strain on a relationship, particularly when you don't have a diagnosis." Having a relationship when you live with bipolar disorder is difficult. It takes work on the part of both partners to make sure the marriage survives.
The first step is to get diagnosed and treated for your condition.
Introducing the fact that you have bipolar disorder may not make for the most auspicious beginning.
There is always the fear that you might scare the person off and lose the opportunity to get to know one another.
These wild swings put stress on his marriage and threatened to run his family's finances into the ground.
Warning signs, she says, can include disturbed sleep and changes in activity level.
Any number of things, from work stress to money issues, can lead to arguments and put strain on a marriage.
Haltzman is clinical assistant professor in the Brown University department of psychiatry and human behavior.
He's also medical director of NRI Community Services in Woonsocket, R. and author of The Secrets of Happily Married Men and The Secrets of Happily Married Women.