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Yes, many people with bipolar disorder may experience regret and guilt after saying hurtful things during a period of rage, particularly if those hurtful words were directed toward someone they love. Bipolar disorder can cause significant mood swings, including episodes of mania and depression. During manic or hypomanic episodes, individuals may experience heightened emotions, impulsivity, and irritability, which can lead to outbursts of anger and hurtful words.

After the intense emotions subside and the person enters a more stable state, they may reflect on their actions and feel remorse for the hurt they caused. This remorse is often genuine, as the person may not have intended to say or do hurtful things but was caught up in the intensity of their emotions during the manic phase.

It's important to recognize that the behavior displayed during a bipolar episode is not reflective of the person's true character but rather a manifestation of the disorder. Nevertheless, it's crucial for individuals with bipolar disorder to take responsibility for their actions, seek help to manage their condition, and apologize to those they may have hurt.

Communication and open dialogue with loved ones about the challenges posed by bipolar disorder can be beneficial in fostering understanding and empathy. Additionally, seeking treatment, such as therapy and medication management, can help individuals with bipolar disorder learn coping strategies to manage mood swings and reduce the likelihood of hurtful episodes.

If you're in a relationship with someone who has bipolar disorder, it can be helpful to educate yourself about the condition and offer your support while also setting healthy boundaries for yourself. If the person is willing to seek help and work on managing their bipolar disorder, there is potential for more stable and healthier interactions in the relationship.

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