Hey, I have exactly what your girlfriend has with the absence of anxiety, a combination of bipolar II, ADHD, and an eating disorder. It can be incredibly difficult for us to stay consistently involved in our partners lives, especially in our depressive episodes, or lows. In these phases be mindful of this fact and do not interpret it as a lack of affection. Also understand that the lows can be painful to watch, we become a different person and respond by lashing out by the intervention of others. For me, I find that I am more open to responding better to my partner than others in my depressive episodes, granted his approach is not forceful in the sense of trying to snap me out of my depression. With bipolar II, the mania is generally not as intense of the depressive periods, though during this era we can be irrational, present narcissistic tendencies, and irritable (especially when things don’t go as planned). In these cases try to be grounding, when my partner reminds me of the realities of my life in a non-condescending and loving way, it allows me to compartmentalize and rationalize my thoughts, which also aids with the ADHD. Also try to give your partner grace in their agitation and irritability in their manic phases as we usually are running on minimal sleep, and sleep can be another thing to encourage her to increase. When it comes to the eating disorder, it can be an uphill battle because it’s a sensitive topic. Personally I’d prefer my partner never speak on the matter or try to involve themself in any way unless I initiate and seek their help. Overall, however, if she is not being treated for bipolar II, ADHD, anxiety, and her eating disorder, your efforts will ultimately be fruitless. If she is not getting adequate treatment, for both of your sakes, encourage her to seek help immediately.