Bipolar disorder includes recurrent depression, bipolar I, bipolar II and bipolar NOS (not otherwise specified).
12 step programs work because of their emphasis on giving up control to a higher power. This eventually results in a spiritual experience and causes change. Cognitive therapy helps a person to change their incorrect thinking in order to change their mood. A person must examine their thoughts whenever an unhealthy thought occurs to them, making them depressed or worried. They must look at the reality of the situation and change their thinking. Mental health is described by M. Scott Peck as "dedication to reality at all costs."
The author further describes what mental health is and what self-actualization is, based on examples from Lincoln's life and Abraham Maslow's book Motivation and Personality. The author states that a person's neuroses and narcissism can be healed. But once healed, the bipolar person still needs medication in the same way a person with diabetes needs insulin.