When I was a boy I was diagnosed with the disease. Later doctors tried a cocktail of medications to tone down the highs and lows. Lithium did nothing. Prozac and similar drugs were ineffective. They even tried scary drugs that really messed with my head. Eventually the medications were ended and I attended therapy to understand my triggers and methods to control an episode.
Here is the funny thing. I never had an overwhelming debt burden in my life. I grew up poor on a farm in rural Wisconsin, but we always had food, family life was good and I never felt like we were poor until I got older and the outside world reminded me what I am.
Later I married the best woman on earth and she blessed our household with two incredible daughters. Home life has always been good for me. I got lucky. With a predisposition for mania followed by depression, I found a way to create a life that minimized triggers. Like I said, lucky.