Bipolar Agitation Monitoring

State monitoring differs from diagnosis because it asks whether a known person is currently moving into agitation. Agitation episodes in bipolar disorder are clinically important because they can precede self-harm risk, conflict, or escalation requiring intervention. The article frames the central monitoring problem as separating stable speaker traits from changing affective states. MP-IB is positioned for clinician review flags or research mood tracking rather than autonomous alerting. Voice biomarkers are attractive for repeated natural-environment monitoring, but deployment raises privacy, latency, connectivity, and resource constraints.