My bipolar makes me self-centered, and not in a healthy way. Sometimes I obsess over my depression and anxiety and insecurities, and the inner dialog becomes all about me-me-me. In those times I really don’t care about other people and their problems.
It’s difficult when I spend so much energy managing my own health, and there is so little energy left for anything outside myself. Sometimes I feel like I have to protect my fragile psyche when events become too overwhelming, and my thoughts focus inward. It is good to take care of myself, but I’m not very empathetic unless something affects me personally.