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Help Me Handle Bipolar Disorder Mania Episodes | Psych Central
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class="css-ifmqwy"></div></div><div class="css-16wahxh"><aside class="css-1wm8u43" data-testid="header-leaderboard" data-sticky="true"><div data-empty="true" class="css-1j2d96m"><div class="css-1hjaa0k"><span class="css-zya54r"></span></div><div id="dlb1__slot" data-adbridg-ad-class="dlb1" data-ad="true" class="css-1jpwf16"></div></div></aside></div><aside data-testid="mobile-leaderboard" class="css-pdceuf"><div class="css-11egx89"><button class="icon-hl-close-thick css-1ik4tkj"></button><div data-empty="true" class="css-1fteite"><div class="css-1hjaa0k"><span class="css-zya54r"></span></div><div id="mlb1__slot" data-adbridg-ad-class="mlb1" data-ad="true" class="css-bcus5s"></div></div></div></aside><div data-placement="subheader"></div><div><div class="css-m260rd"><div data-article-body="0" class="css-blwnmv"><div class="css-z468a2"><h1>Dealing with Bipolar Disorder Manic Episodes</h1><div data-preamp="social-proof-lessons"></div><div data-testid="byline"><section data-testid="byline" class="css-eoj89x"><div class="css-1q67gt9"><div class="css-xc63cd"><img src="//i0.wp.com/post.psychcentral.com/wp-content/uploads/2021/04/200x200_Alex_Klein_mug.png?w=105&h=105" alt=""/></div></div><div><span><span>Medically reviewed by <a class="css-150s69f css-130mbve" href="https://www.psychcentral.com/medical-team">Alex Klein, PsyD</a></span></span> — <span><span><span><span>Written by <span>Gloria Oladipo</span></span></span></span></span> — <span> Updated on May 18, 2021</span></div></section></div><div><nav id="tab-bar-0" data-testid="tab-bar" class="css-7u7i0a"><ul class="css-17ztj4b"><li class="css-t753mo"><a href="#strategies" class="css-yn6ido">Strategies</a></li><li class="css-t753mo"><a href="#early-signs" class="css-yn6ido">Early signs</a></li><li class="css-t753mo"><a href="#causes-of-mania" class="css-yn6ido">Causes of mania</a></li><li class="css-t753mo"><a href="#manic-episodes-defined" class="css-yn6ido">Manic episodes, defined</a></li><li class="css-t753mo"><a href="#summary" class="css-yn6ido">Summary</a></li></ul></nav><article class="article-body css-d2znx6 undefined"><div class="css-12va8w7"><span style="font-size:0;line-height:0"></span><span style="font-size:0;line-height:0"></span><div><div><p class="css-w2pt6r">Mania in bipolar disorder can blindside you, but you can manage it mindfully if you know what to look for.</p></div></div><div><p>For people living with certain types of bipolar disorder, episodes of mania can be intense, challenging experiences.</p></div><div><div data-preamp="serena-chatbot"></div></div><div><p><a href="https://psychcentral.com/disorders/manic-episode" class="content-link css-150s69f">Mania</a> is when a person feels extremely energetic, euphoric, or irritable, for days, weeks, or months on end. </p></div><div><p>When you’re experiencing symptoms of mania, you might do things impulsively that have social, sexual, <a href="https://psychcentral.com/bipolar/spending-sprees-in-bipolar-disorder" class="content-link css-150s69f">financial</a>, work-related, or legal consequences. You may also need only a few hours of sleep but still feel lively.</p></div><div><p>It can be challenging to function — learn, work, parent, and so much more — when an episode arises, but learning strategies to cope can give you an advantage in managing your mania.</p></div><div class="css-20w1gi"><aside class="css-0 css-0" data-testid="sticky-inline-ad" data-sticky="false"><div><div data-empty="true" class="css-1sq15os"><div class="css-1hjaa0k"><span class="css-zya54r"></span></div><div id="inline2__slot" data-adbridg-ad-class="inline2__slot" data-ad="true" class="css-1t05dkn"></div></div></div></aside></div></div><div class="css-1avyp1d"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="strategies">Prevention strategies for an episode of mania</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><p>While we have some ideas, experts don’t know the exact cause of <a href="https://psychcentral.com/bipolar/bipolar-disorder-fact-sheet" class="content-link css-150s69f">bipolar disorder</a> or mania. Still, there are several strategies you can try to help reduce or prevent episodes of mania.</p></div><div><h3>Don’t miss a dose of your meds</h3></div><div><p>It’s important to take yours meds every day as prescribed. Sticking to your <a href="https://psychcentral.com/bipolar/bipolar-disorder-treatment" class="content-link css-150s69f">treatment plan</a> is essential for preventing mania from escalating.</p></div><div><p>If you’re concerned about medication side effects or want to make adjustments, you can reach out to your treatment team. They can help you figure out the best next steps.</p></div><div><h4>Avoid anything that may interact with your meds</h4></div><div><p><a href="https://www.medicalnewstoday.com/articles/313571" target="_blank" rel="noopener noreferrer nofollow" class="content-link css-150s69f">Drinking alcohol</a> while taking medications for bipolar disorder can lead to issues with memory, poor judgment, confusion, dizziness, and more.</p></div><div><p>The same goes for <a href="https://psychcentral.com/blog/older-bipolar/2020/07/bipolar-stay-away-from-cannabis" class="content-link css-150s69f">cannabis use</a>. Despite some opinions that cannabis can help calm symptoms of mania, it can actually <a href="https://www.sciencedirect.com/science/article/abs/pii/S0165032706002229" target="_blank" rel="noopener noreferrer" class="content-link css-150s69f">exacerbate manic episodes</a>.</p></div><div><p>If you’re not sure what else might interact with your meds, you can reach out to your doctor or a pharmacist for advice.</p></div><div><h3>Get regular sleep </h3></div><div><p><a href="https://www.healthline.com/nutrition/17-tips-to-sleep-better" target="_blank" rel="noopener noreferrer" class="content-link css-150s69f">Getting enough sleep</a> not only helps your overall well-being, but can make a difference in managing bipolar disorder symptoms. </p></div><div><p>Make sure to prioritize your sleep. Consider:</p></div><div><ul><li>Sleeping and waking up at the same time every day. </li><li>Develop a peaceful, regular <a href="https://www.healthline.com/health/nighttime-routine" target="_blank" rel="noopener noreferrer" class="content-link css-150s69f">sleep routine</a> that works for you.</li><li>Create a soothing sleep environment and avoid screens before bed. </li></ul></div><div><h3>Track your symptoms and moods </h3></div><div><p>To figure out when you might start having an episode of mania, it can help to keep track of any mania-related shifts in your moods and symptoms. Using a calendar, planner, <a href="https://psychcentral.com/blog/top-10-free-mental-health-apps#emoods" class="content-link css-150s69f">app</a>, or journal, you can learn your body’s rhythm and cycle.</p></div><div><p>It can be enlightening and motivating to check in with yourself, like how you’re feeling and any changes in behaviors that you or others have noticed.</p></div><div><h3>Practice self-care </h3></div><div><p>Practicing any type of <a href="https://psychcentral.com/lib/self-help-strategies-for-bipolar-disorder" class="content-link css-150s69f">self-care</a> — even if it’s small — can help improve your mood. So make time every day to do things you enjoy. </p></div><div><p>Creating <a href="https://psychcentral.com/bipolar/building-a-routine-when-you-have-bipolar-disorder" class="content-link css-150s69f">specific routines</a> and forms of self-care can help you better manage your condition and prevent mood episodes.</p></div><span class="css-zya54r"></span></div><div class="css-1avyp1d"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="early-signs">Early signs of a manic episode</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><p>Everyone is different, but several things that happen in your day-to-day life can potentially trigger mania:</p></div><div><ul><li>not getting enough sleep</li><li>stress, such as from school or work,or in your relationships </li><li>substance use</li><li>certain medications</li></ul></div><div><p>Understanding how everyday events may lead to mania means you can be proactive in your mental health and well-being.</p></div><div><div id="widget_call_out_6d98ddc5-1ee3-4e09-b760-d1257c2e1c6d" class="css-ubcbi5"><span style="font-size:0;line-height:0"></span><div class="css-14hk5xp"><div class="css-xqvouu"><h3 class="css-9zytxy"><div><span class="css-14sy2z4">Common cues for mania</span></div></h3><div class="css-slwzda"><ul id="block-93b4df94-2401-42ca-a667-4c06a0dbae09"><li>having trouble falling asleep</li><li>feeling more talkative than usual</li><li>feeling happier, more energetic, or edgier</li><li>taking on more activities than usual</li></ul></div></div></div><div class="css-1uwjw6e"><div></div><div></div></div></div></div><div class="css-20w1gi"><aside class="css-0 css-0" data-testid="sticky-inline-ad" data-sticky="false"><div><div data-empty="true" class="css-1sq15os"><div class="css-1hjaa0k"><span class="css-zya54r"></span></div><div id="inline7__slot" data-adbridg-ad-class="inline7__slot" data-ad="true" class="css-1t05dkn"></div></div></div></aside></div></div><div class="css-1avyp1d"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="causes-of-mania">What causes mania to occur?</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><p>For people with bipolar disorder, the causes of mania are still unclear. Mania can be set off by certain lifestyle factors like lack of sleep or substance use. It may also occur after a significant event such as <a href="https://psychcentral.com/bipolar/additional-specifiers-of-bipolar-disorder-depression#peripartum-onset" class="content-link css-150s69f">childbirth</a> or trauma.</p></div><div><p>Some other possible causes of mania include:</p></div><div><ul><li>changes in season; some people may be more likely to experience mania in the spring</li><li>a big life change, like moving or going through a breakup</li><li>side effects of a medication change</li><li><a href="https://www.psychcentral.com/bipolar/is-bipolar-genetic-causes-and-risk-factors" class="content-link css-150s69f">someone in your family having bipolar disorder</a></li></ul></div><span class="css-zya54r"></span></div><div class="css-1avyp1d"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="manic-episodes-defined">What does mania look like?</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><p>Manic episodes have specific symptoms that can let you know if you may be about to enter into one. </p></div><div><div id="widget_call_out_a594a751-8fdf-45e8-a549-febfa0f577e6" class="css-ubcbi5"><span style="font-size:0;line-height:0"></span><div class="css-14hk5xp"><div class="css-xqvouu"><h3 class="css-9zytxy"><div><span class="css-14sy2z4">Symptoms of a manic episode include:</span></div></h3><div class="css-slwzda"><ul><li>feeling a flood of energy, even with only a few hours of sleep</li><li>suddenly starting a bunch of projects</li><li>talking a lot or very fast</li><li>having racing thoughts or an endless fountain of ideas</li><li>feeling more sociable than usual</li><li>engaging in behaviors without thought of harm or consequence, such as substance use or spending a lot of money</li></ul></div></div></div><div class="css-1uwjw6e"><div></div><div></div></div></div></div><div><p>For some people, an episode of mania may result in hospitalization if symptoms are severe.</p></div><div><h3>Types of bipolar disorder that include mania</h3></div><div><p>Mania is a feature of bipolar I disorder and <a href="https://psychcentral.com/disorders/mixed-episode-symptoms" class="content-link css-150s69f">bipolar disorder with mixed episodes</a>.</p></div><div><p>In other types of bipolar disorder like bipolar II, someone might experience <a href="https://psychcentral.com/disorders/hypomanic-episode-symptoms" class="content-link css-150s69f">hypomania</a>. This is a slightly more subdued form of mania where the symptoms are the same but less severe.</p></div><div><p>In hypomania, symptoms may be aggravating or a nuisance, but aren’t usually as noticeable as symptoms of mania. </p></div><div class="css-20w1gi"><aside class="css-0 css-0" data-testid="sticky-inline-ad" data-sticky="false"><div><div data-empty="true" class="css-1sq15os"><div class="css-1hjaa0k"><span class="css-zya54r"></span></div><div id="inline12__slot" data-adbridg-ad-class="inline12__slot" data-ad="true" class="css-1t05dkn"></div></div></div></aside></div></div><div class="css-1avyp1d"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="summary">Recap</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><p>Episodes of mania in bipolar disorder can be challenging to navigate. It can be tricky to recognize the signs of an impending mood episode or know what to do when one comes on.</p></div><div><p>Everyone’s lived experience with bipolar disorder is unique, and the same goes for mania. Mania may present differently for you than for someone else, so learning more about it can help you figure out what your episodes look like.</p></div><div><p>With the help of preventive strategies, medication, and self-care, you can feel better and manage your mania before it escalates.</p></div></div></article><span class="css-zya54r"></span></div><div><div class="css-w9ag5x"><div class="css-1xn3edc"><div aria-expanded="false" aria-controls="article-resources" class="css-1l48sh1" role="button"><p class="css-1dxissy"><span class="css-1p6d3md icon-hlvideo-minus"></span><span class="css-1p6d3md icon-hlvideo-plus"></span> <span class="css-1xdhyk6">5 sources</span><span class="sro">collapsed</span></p></div><div id="article-resources" role="region" class="css-1ugaz02"><ul class="css-1vedeqe"><li class="css-f6pdvi"><cite><span>Bipolar disorder. (2018).</span><br/><a class="css-150s69f css-138ocmy" target="_blank" rel="noopener noreferrer" href="https://www.nimh.nih.gov/health/publications/bipolar-disorder/index.shtml">https://www.nimh.nih.gov/health/publications/bipolar-disorder/index.shtml</a></cite></li><li class="css-f6pdvi"><cite><span>Cécile H, et al. (2006). Cannabis use and expression of mania in the general population.</span><br/><a class="css-150s69f css-138ocmy" target="_blank" rel="noopener noreferrer" href="https://www.sciencedirect.com/science/article/abs/pii/S0165032706002229">https://www.sciencedirect.com/science/article/abs/pii/S0165032706002229</a></cite></li><li class="css-f6pdvi"><cite><span>Dailey MW, et al. (2020). Mania.</span><br/><a class="css-150s69f css-138ocmy" target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/books/NBK493168/">https://www.ncbi.nlm.nih.gov/books/NBK493168/</a></cite></li><li class="css-f6pdvi"><cite><span>Hypomania and mania. (2020).</span><br/><a class="css-150s69f css-138ocmy" target="_blank" rel="noopener noreferrer" href="https://www.mind.org.uk/information-support/types-of-mental-health-problems/hypomania-and-mania/causes/">https://www.mind.org.uk/information-support/types-of-mental-health-problems/hypomania-and-mania/causes/</a></cite></li><li class="css-f6pdvi"><cite><span>I am newly diagnosed with bipolar. (n.d.).</span><br/><a class="css-150s69f css-138ocmy" target="_blank" rel="noopener noreferrer" href="https://ibpf.org/about-bipolar-disorder/i-am-newly-diagnosed-with-bipolar/">https://ibpf.org/about-bipolar-disorder/i-am-newly-diagnosed-with-bipolar/</a></cite></li></ul></div></div><div class="css-1wkzy2"><div class="css-1ytasfq"><div class="button-wrapper print"><a class="css-1uhtj6l print button icon icon-hl-print" target="_blank" title="Print this page"></a></div><div class="button-wrapper facebook"><a class="css-1uhtj6l facebook button icon icon-hl-facebook" href="https://www.facebook.com/sharer/sharer.php?u=https%3A%2F%2Fpsychcentral.com%2Fbipolar%2Fstrategies-for-reducing-signs-of-mania-in-bipolar-disorder%3Futm_medium%3Dsocial%26utm_source%3Dfacebook%26utm_campaign%3Dsocial-sharebar-referred-desktop" rel="noopener noreferrer nofollow" target="_blank" title="Share on Facebook"></a></div><div class="button-wrapper twitter"><a class="css-1uhtj6l twitter button icon 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data-testid="title-link" data-ga4="Read Next button clicks">How Long Will a Bipolar Disorder Manic Episode Last?</a><section data-testid="byline" class="css-ymf4ha"><div class="css-1pz7193"><div class="css-xc63cd"><lazy-image alt="" src="//i0.wp.com/post.psychcentral.com/wp-content/uploads/2022/01/Simay-Gökbayrak-500x500-Bio.png?w=73&h=73"></lazy-image></div></div><div><span><span>Medically reviewed by <a class="css-150s69f css-130mbve" href="https://www.psychcentral.com/medical-team">N. Simay Gökbayrak, PhD</a></span></span></div></section><p class=""><a class="css-onvglr" data-event="engagement|bottom page content promo click|/bipolar/how-long-is-a-typical-bipolar-manic-episode;engagement|bottom page content promo click index|1" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|How Long Will a Bipolar Disorder Manic Episode Last?|rn0" href="https://www.psychcentral.com/bipolar/how-long-is-a-typical-bipolar-manic-episode?utm_source=ReadNext" data-testid="text-link" data-ga4="Read Next button clicks" aria-hidden="true" tabindex="-1">Learn how long bipolar disorder mania symptoms can last here.</a></p><a class="css-1culwpr css-2dy712" data-event="engagement|bottom page content promo click|/bipolar/how-long-is-a-typical-bipolar-manic-episode;engagement|bottom page content promo click index|1" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|How Long Will a Bipolar Disorder Manic Episode Last?|rn0" href="https://www.psychcentral.com/bipolar/how-long-is-a-typical-bipolar-manic-episode?utm_source=ReadNext" data-ga4="Read Next button clicks">READ MORE<span class="icon-hl-arrow-right-bold selector css-2kgwd5"></span></a></div></div></div><section class="css-82r5pg css-1ub4i5m"><div data-empty="true" class="css-vhteyv"><div class="css-1hjaa0k"><span class="css-zya54r"></span></div><div id="DCMR1__slot" data-adbridg-ad-class="DCMR1" data-ad="true" class="css-prb4v6"></div></div></section></div></div></li><li class="css-12weawj"><div class="css-m260rd"><div class="css-1h1rean"><div class="css-1r7frvz"><span class="css-zya54r"></span></div><section class="css-82r5pg css-1ub4i5m"><div data-empty="true" class="css-vhteyv"><div class="css-1hjaa0k"><span class="css-zya54r"></span></div><div id="DCMR1__slot" data-adbridg-ad-class="DCMR1" data-ad="true" class="css-prb4v6"></div></div></section></div></div></li><li class="css-12weawj"><div class="css-m260rd"><div class="css-1h1rean"><div class="css-1r7frvz"><div class="css-lm0pdr"><span style="font-size:0;line-height:0"></span><figure class="css-1e4ja14 css-f0t0lw"><a class="css-1uhtj6l" data-event="engagement|bottom page content promo click|/disorders/manic-episode;engagement|bottom page content promo click index|2" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|What to Know About Manic Episodes|rn1" href="https://www.psychcentral.com/disorders/manic-episode?utm_source=ReadNext" aria-label="image-link" data-ga4="Read Next button clicks" data-testid="image-link" aria-hidden="true" tabindex="-1"><div class="css-79elbk"><span class="css-rwmw5v css-1pf0x3y"><span class="css-1767n2d"><lazy-image alt="What to Know About Manic Episodes" src="https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/02/manic-party-dancing-happy-732x549-thumbnail-732x549.jpg" srcSet="https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/02/manic-party-dancing-happy-732x549-thumbnail-732x549.jpg 200w" className="css-1lyqwde"></lazy-image></span></span><span class="css-1fb1nmp"><span class="css-a10gts"></span></span></div></a></figure><div class="css-h0zs0i"><a class="css-11ivwxm" data-event="engagement|bottom page content promo click|/disorders/manic-episode;engagement|bottom page content promo click index|2" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|What to Know About Manic Episodes|rn1" href="https://www.psychcentral.com/disorders/manic-episode?utm_source=ReadNext" data-testid="title-link" data-ga4="Read Next button clicks">What to Know About Manic Episodes</a><section data-testid="byline" class="css-ymf4ha"><div class="css-1pz7193"><div class="css-xc63cd"><lazy-image alt="" src="//i0.wp.com/post.psychcentral.com/wp-content/uploads/2022/01/Marney-White-500x500-Bio.png?w=73&h=73"></lazy-image></div></div><div><span><span>Medically reviewed by <a class="css-150s69f css-130mbve" href="https://www.psychcentral.com/medical-team">Marney A. White, PhD, MS</a></span></span></div></section><p class=""><a class="css-onvglr" data-event="engagement|bottom page content promo click|/disorders/manic-episode;engagement|bottom page content promo click index|2" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|What to Know About Manic Episodes|rn1" href="https://www.psychcentral.com/disorders/manic-episode?utm_source=ReadNext" data-testid="text-link" data-ga4="Read Next button clicks" aria-hidden="true" tabindex="-1">Manic episodes involve a state of high energy and elevated or irritated mood. Learn more about bipolar disorder and mania.</a></p><a class="css-1culwpr css-2dy712" data-event="engagement|bottom page content promo click|/disorders/manic-episode;engagement|bottom page content promo click index|2" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|What to Know About Manic Episodes|rn1" href="https://www.psychcentral.com/disorders/manic-episode?utm_source=ReadNext" data-ga4="Read Next button clicks">READ MORE<span class="icon-hl-arrow-right-bold selector css-2kgwd5"></span></a></div></div></div><section class="css-82r5pg css-1ub4i5m"></section></div></div></li><li class="css-12weawj"><div class="css-m260rd"><div class="css-1h1rean"><div class="css-1r7frvz"><div class="css-lm0pdr"><span style="font-size:0;line-height:0"></span><figure class="css-1e4ja14 css-f0t0lw"><a class="css-1uhtj6l" data-event="engagement|bottom page content promo click|/disorders/hypomanic-episode-symptoms;engagement|bottom page content promo click index|3" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|What to Know About Hypomanic Episodes|rn2" href="https://www.psychcentral.com/disorders/hypomanic-episode-symptoms?utm_source=ReadNext" aria-label="image-link" data-ga4="Read Next button clicks" data-testid="image-link" aria-hidden="true" tabindex="-1"><div class="css-79elbk"><span class="css-rwmw5v css-1pf0x3y"><span class="css-1767n2d"><lazy-image alt="What to Know About Hypomanic Episodes" src="https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/01/Male_Hat_Car_732x549-thumbnail-732x549.jpg" srcSet="https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/01/Male_Hat_Car_732x549-thumbnail-732x549.jpg 200w" className="css-1lyqwde"></lazy-image></span></span><span class="css-1fb1nmp"><span class="css-a10gts"></span></span></div></a></figure><div class="css-h0zs0i"><a class="css-11ivwxm" data-event="engagement|bottom page content promo click|/disorders/hypomanic-episode-symptoms;engagement|bottom page content promo click index|3" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|What to Know About Hypomanic Episodes|rn2" href="https://www.psychcentral.com/disorders/hypomanic-episode-symptoms?utm_source=ReadNext" data-testid="title-link" data-ga4="Read Next button clicks">What to Know About Hypomanic Episodes</a><section data-testid="byline" class="css-ymf4ha"><div class="css-1pz7193"><div class="css-xc63cd"><lazy-image alt="" src="//i0.wp.com/post.psychcentral.com/wp-content/uploads/2018/09/TimothyLegg.png?w=73&h=73"></lazy-image></div></div><div><span><span>Medically reviewed by <a class="css-150s69f css-130mbve" href="https://www.psychcentral.com/medical-team">Timothy J. Legg, PhD, PsyD</a></span></span></div></section><p class=""><a class="css-onvglr" data-event="engagement|bottom page content promo click|/disorders/hypomanic-episode-symptoms;engagement|bottom page content promo click index|3" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|What to Know About Hypomanic Episodes|rn2" href="https://www.psychcentral.com/disorders/hypomanic-episode-symptoms?utm_source=ReadNext" data-testid="text-link" data-ga4="Read Next button clicks" aria-hidden="true" tabindex="-1">Hypomanic episodes are periods of energetic, happy, or irritable mood linked with bipolar disorder. 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Take the Quiz</a><section data-testid="byline" class="css-ymf4ha"><div class="css-1pz7193"><div class="css-xc63cd"><lazy-image alt="" src="//i0.wp.com/post.psychcentral.com/wp-content/uploads/2022/01/Kendra-Kubala-500x500-Bio.png?w=73&h=73"></lazy-image></div></div><div><span><span>Medically reviewed by <a class="css-150s69f css-130mbve" href="https://www.psychcentral.com/medical-team">Kendra Kubala, PsyD</a></span></span></div></section><p class=""><a class="css-onvglr" data-event="engagement|bottom page content promo click|/quizzes/mania-quiz;engagement|bottom page content promo click index|5" data-element-event="INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Do I Have Mania? 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</script><script src="https://rvo-cohesion.psychcentral.com/cohesion/cohesion-tpo.min.js?cDomain=psychcentral.com" async=""></script><link href="https://c.aps.amazon-adsystem.com" rel="preconnect" crossorigin="true"/><script src="https://c.aps.amazon-adsystem.com/apstag.js" async=""></script><script>module={};__NEXT_DATA__={"buildId":"5cb9d41f-3b45-43f1-bd30-ec9944df0b35","props":{"ga":{"k1":"bipolar","k2":"mentalhealth","kmeta":"vraylar24bp","contentType":"Tabbed Article","author":"Gloria Oladipo","articleType":"regular","sponsoredProgramId":"","articleId":"psy-53031","mainContentCategoryTags":"","publishedDate":"2021-05-18","updatedDate":"2022-06-24","medReviewer":"Alex Klein, PsyD","category":"Uncategorized,blog","subcategory":"","trackingTerms":"","ek1":"2b59d6da71c8e0","ekmeta":"3f42c7cc71c8e0cfe48176,","contentForm":"Features","type":"healthfeature"},"lang":"en","data":{"k1":"bipolar","sideEffectsWidget":{},"livedExperience":{},"shareYourExperience":{},"drugSavingsData":null,"comments":[],"topComments":[],"id":"psy-53031","title":["Dealing with Bipolar Disorder Manic Episodes"],"articleHistory":{"2014-05-19":{"updateReason":[],"authors":"Margarita Tartakovsky, MS","medicallyReviewedBy":"Scientific Advisory Board"},"2021-05-18":{"updateReason":[],"authors":"Gloria Oladipo","editor":"Kristin Currin-Sheehan","copyEditor":"Jamie Elmer"},"2021-05-03":{"medicallyReviewedBy":"Alex Klein, PsyD"}},"updateReason":[],"isFeature":false,"isPaidMedia":false,"isEditorialPaidMedia":false,"isTransactionalPaidMedia":false,"authors":[{"id":505,"name":{"display":"Gloria Oladipo","first":"Gloria","last":"Oladipo"},"type":{"value":"author","label":"Author"},"nid":"","specialties":[],"guestTitle":"","bio":{"text":""},"avatar":{"title":"","src":""}}],"medicalReviewers":[{"id":2821,"name":{"display":"Alex Klein, PsyD","first":"Alex","last":"Klein, PsyD"},"userLogin":"aklein","links":{"website":"http://www.dralexklein.com/","facebook":"","linkedin":"","twitter":"","instagram":"","tiktok":""},"type":{"value":"medical_reviewer","label":"Medical Advisor"},"nid":"164043","specialties":[],"guestTitle":"","bio":{"text":"\u003cp\u003eDr. Alex Klein is a licensed clinical psychologist who specializes in psychotherapy and assessment. 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He received his doctorate in clinical psychology from the…"]}}],"editors":[{"role":"Editor","name":{"display":"Kristin Currin-Sheehan"}}],"pinterestImage":{"path":"https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/04/PC-Female-Overhead-Journal-Writing-732x549-Thumbnail.jpg"},"hideFeedback":false,"isMedicare":false,"isBlog":false,"publishSource":"wordpress","isAmpSupported":false,"categories":[{"name":"Uncategorized","slug":"uncategorized","link":"/uncategorized","children":[]},{"name":"blog","slug":"blog","link":"/blog","children":[]}],"language":{"en":"https://psychcentral.com/bipolar/strategies-for-reducing-signs-of-mania-in-bipolar-disorder/","x-default":"https://psychcentral.com/bipolar/strategies-for-reducing-signs-of-mania-in-bipolar-disorder/","current":"en"},"lang":"en","links":[],"colorScheme":"default","isContentSeries":false,"brandCTAs":[],"clusterNavLinks":[],"clusterUrls":[],"clusterLinks":{},"pathingTilesData":{},"pathingCardsData":{},"inArticlePathingCardsData":[],"quantitativeTrustData":{},"isPrependRecipeH2":false,"recipes":[],"hideTabs":false,"tabs":[{"id":"_noHeaderPrefixedContent","title":null,"header":null,"body":[{"tagName":"div","source":"\u003cp class=\"css-w2pt6r\"\u003eMania in bipolar disorder can blindside you, but you can manage it mindfully if you know what to look for.\u003c/p\u003e"},{"tagName":"p","source":"For people living with certain types of bipolar disorder, episodes of mania can be intense, challenging experiences."},{"tagName":"div","attributes":{"data-preamp":"serena-chatbot"},"source":""},{"tagName":"p","source":"\u003ca href=\"https://psychcentral.com/disorders/manic-episode\" class=\"content-link css-150s69f\"\u003eMania\u003c/a\u003e is when a person feels extremely energetic, euphoric, or irritable, for days, weeks, or months on end. "},{"tagName":"p","source":"When you’re experiencing symptoms of mania, you might do things impulsively that have social, sexual, \u003ca href=\"https://psychcentral.com/bipolar/spending-sprees-in-bipolar-disorder\" class=\"content-link css-150s69f\"\u003efinancial\u003c/a\u003e, work-related, or legal consequences. You may also need only a few hours of sleep but still feel lively."},{"tagName":"p","source":"It can be challenging to function — learn, work, parent, and so much more — when an episode arises, but learning strategies to cope can give you an advantage in managing your mania."}]},{"id":"strategies","title":"Strategies","isCollapsable":false,"header":["Prevention strategies for an episode of mania"],"body":[{"tagName":"p","source":"While we have some ideas, experts don’t know the exact cause of \u003ca href=\"https://psychcentral.com/bipolar/bipolar-disorder-fact-sheet\" class=\"content-link css-150s69f\"\u003ebipolar disorder\u003c/a\u003e or mania. Still, there are several strategies you can try to help reduce or prevent episodes of mania."},{"tagName":"h3","source":"Don’t miss a dose of your meds"},{"tagName":"p","source":"It’s important to take yours meds every day as prescribed. Sticking to your \u003ca href=\"https://psychcentral.com/bipolar/bipolar-disorder-treatment\" class=\"content-link css-150s69f\"\u003etreatment plan\u003c/a\u003e is essential for preventing mania from escalating."},{"tagName":"p","source":"If you’re concerned about medication side effects or want to make adjustments, you can reach out to your treatment team. They can help you figure out the best next steps."},{"tagName":"h4","source":"Avoid anything that may interact with your meds"},{"tagName":"p","source":"\u003ca href=\"https://www.medicalnewstoday.com/articles/313571\" target=\"_blank\" rel=\"noopener noreferrer nofollow\" class=\"content-link css-150s69f\"\u003eDrinking alcohol\u003c/a\u003e while taking medications for bipolar disorder can lead to issues with memory, poor judgment, confusion, dizziness, and more."},{"tagName":"p","source":"The same goes for \u003ca href=\"https://psychcentral.com/blog/older-bipolar/2020/07/bipolar-stay-away-from-cannabis\" class=\"content-link css-150s69f\"\u003ecannabis use\u003c/a\u003e. Despite some opinions that cannabis can help calm symptoms of mania, it can actually \u003ca href=\"https://www.sciencedirect.com/science/article/abs/pii/S0165032706002229\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-150s69f\"\u003eexacerbate manic episodes\u003c/a\u003e."},{"tagName":"p","source":"If you’re not sure what else might interact with your meds, you can reach out to your doctor or a pharmacist for advice."},{"tagName":"h3","source":"Get regular sleep "},{"tagName":"p","source":"\u003ca href=\"https://www.healthline.com/nutrition/17-tips-to-sleep-better\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-150s69f\"\u003eGetting enough sleep\u003c/a\u003e not only helps your overall well-being, but can make a difference in managing bipolar disorder symptoms. "},{"tagName":"p","source":"Make sure to prioritize your sleep. Consider:"},{"tagName":"ul","source":"\u003cli\u003eSleeping and waking up at the same time every day. \u003c/li\u003e\u003cli\u003eDevelop a peaceful, regular \u003ca href=\"https://www.healthline.com/health/nighttime-routine\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-150s69f\"\u003esleep routine\u003c/a\u003e that works for you.\u003c/li\u003e\u003cli\u003eCreate a soothing sleep environment and avoid screens before bed. \u003c/li\u003e"},{"tagName":"h3","source":"Track your symptoms and moods "},{"tagName":"p","source":"To figure out when you might start having an episode of mania, it can help to keep track of any mania-related shifts in your moods and symptoms. Using a calendar, planner, \u003ca href=\"https://psychcentral.com/blog/top-10-free-mental-health-apps#emoods\" class=\"content-link css-150s69f\"\u003eapp\u003c/a\u003e, or journal, you can learn your body’s rhythm and cycle."},{"tagName":"p","source":"It can be enlightening and motivating to check in with yourself, like how you’re feeling and any changes in behaviors that you or others have noticed."},{"tagName":"h3","source":"Practice self-care "},{"tagName":"p","source":"Practicing any type of \u003ca href=\"https://psychcentral.com/lib/self-help-strategies-for-bipolar-disorder\" class=\"content-link css-150s69f\"\u003eself-care\u003c/a\u003e — even if it’s small — can help improve your mood. So make time every day to do things you enjoy. "},{"tagName":"p","source":"Creating \u003ca href=\"https://psychcentral.com/bipolar/building-a-routine-when-you-have-bipolar-disorder\" class=\"content-link css-150s69f\"\u003especific routines\u003c/a\u003e and forms of self-care can help you better manage your condition and prevent mood episodes."}]},{"id":"early-signs","title":"Early signs","isCollapsable":false,"header":["Early signs of a manic episode"],"body":[{"tagName":"p","source":"Everyone is different, but several things that happen in your day-to-day life can potentially trigger mania:"},{"tagName":"ul","source":"\u003cli\u003enot getting enough sleep\u003c/li\u003e\u003cli\u003estress, such as from school or work,or in your relationships \u003c/li\u003e\u003cli\u003esubstance use\u003c/li\u003e\u003cli\u003ecertain medications\u003c/li\u003e"},{"tagName":"p","source":"Understanding how everyday events may lead to mania means you can be proactive in your mental health and well-being."},{"widget":{"widgetFormat":"widget-call-out","items":[{"isBullets":true,"list":true,"headerTitle":["Common cues for mania"],"content":[{"tagName":"ul","attributes":{"id":"block-93b4df94-2401-42ca-a667-4c06a0dbae09"},"source":"\u003cli\u003ehaving trouble falling asleep\u003c/li\u003e\u003cli\u003efeeling more talkative than usual\u003c/li\u003e\u003cli\u003efeeling happier, more energetic, or edgier\u003c/li\u003e\u003cli\u003etaking on more activities than usual\u003c/li\u003e"}]}]},"brandPage":{}}]},{"id":"causes-of-mania","title":"Causes of mania","isCollapsable":false,"header":["What causes mania to occur?"],"body":[{"tagName":"p","source":"For people with bipolar disorder, the causes of mania are still unclear. Mania can be set off by certain lifestyle factors like lack of sleep or substance use. It may also occur after a significant event such as \u003ca href=\"https://psychcentral.com/bipolar/additional-specifiers-of-bipolar-disorder-depression#peripartum-onset\" class=\"content-link css-150s69f\"\u003echildbirth\u003c/a\u003e or trauma."},{"tagName":"p","source":"Some other possible causes of mania include:"},{"tagName":"ul","source":"\u003cli\u003echanges in season; some people may be more likely to experience mania in the spring\u003c/li\u003e\u003cli\u003ea big life change, like moving or going through a breakup\u003c/li\u003e\u003cli\u003eside effects of a medication change\u003c/li\u003e\u003cli\u003e\u003ca href=\"https://www.psychcentral.com/bipolar/is-bipolar-genetic-causes-and-risk-factors\" class=\"content-link css-150s69f\"\u003esomeone in your family having bipolar disorder\u003c/a\u003e\u003c/li\u003e"}]},{"id":"manic-episodes-defined","title":"Manic episodes, defined","isCollapsable":false,"header":["What does mania look like?"],"body":[{"tagName":"p","source":"Manic episodes have specific symptoms that can let you know if you may be about to enter into one. "},{"widget":{"widgetFormat":"widget-call-out","items":[{"isBullets":true,"list":true,"headerTitle":["Symptoms of a manic episode include:"],"content":[{"tagName":"ul","source":"\u003cli\u003efeeling a flood of energy, even with only a few hours of sleep\u003c/li\u003e\u003cli\u003esuddenly starting a bunch of projects\u003c/li\u003e\u003cli\u003etalking a lot or very fast\u003c/li\u003e\u003cli\u003ehaving racing thoughts or an endless fountain of ideas\u003c/li\u003e\u003cli\u003efeeling more sociable than usual\u003c/li\u003e\u003cli\u003eengaging in behaviors without thought of harm or consequence, such as substance use or spending a lot of money\u003c/li\u003e"}]}]},"brandPage":{}},{"tagName":"p","source":"For some people, an episode of mania may result in hospitalization if symptoms are severe."},{"tagName":"h3","source":"Types of bipolar disorder that include mania"},{"tagName":"p","source":"Mania is a feature of bipolar I disorder and \u003ca href=\"https://psychcentral.com/disorders/mixed-episode-symptoms\" class=\"content-link css-150s69f\"\u003ebipolar disorder with mixed episodes\u003c/a\u003e."},{"tagName":"p","source":"In other types of bipolar disorder like bipolar II, someone might experience \u003ca href=\"https://psychcentral.com/disorders/hypomanic-episode-symptoms\" class=\"content-link css-150s69f\"\u003ehypomania\u003c/a\u003e. This is a slightly more subdued form of mania where the symptoms are the same but less severe."},{"tagName":"p","source":"In hypomania, symptoms may be aggravating or a nuisance, but aren’t usually as noticeable as symptoms of mania. "}]},{"id":"summary","title":"Summary","isCollapsable":false,"header":["Recap"],"body":[{"tagName":"p","source":"Episodes of mania in bipolar disorder can be challenging to navigate. It can be tricky to recognize the signs of an impending mood episode or know what to do when one comes on."},{"tagName":"p","source":"Everyone’s lived experience with bipolar disorder is unique, and the same goes for mania. Mania may present differently for you than for someone else, so learning more about it can help you figure out what your episodes look like."},{"tagName":"p","source":"With the help of preventive strategies, medication, and self-care, you can feel better and manage your mania before it escalates."}]}],"hasAffiliateLinks":false,"affiliates":[],"propsFor":{"articleResources":[{"displayLink":"nimh.nih.gov/health/publications/bipolar-disorder/index.shtml","link":"https://www.nimh.nih.gov/health/publications/bipolar-disorder/index.shtml","title":{"tagName":"span","source":"Bipolar disorder. (2018)."}},{"displayLink":"sciencedirect.com/science/article/abs/pii/S0165032706002229","link":"https://www.sciencedirect.com/science/article/abs/pii/S0165032706002229","title":{"tagName":"span","source":"C\u0026eacute;cile H, et al. (2006). Cannabis use and expression of mania in the general population."}},{"displayLink":"ncbi.nlm.nih.gov/books/NBK493168/","link":"https://www.ncbi.nlm.nih.gov/books/NBK493168/","title":{"tagName":"span","source":"Dailey MW, et al. (2020). Mania."}},{"displayLink":"mind.org.uk/information-support/types-of-mental-health-problems/hypomania-and-mania/causes/","link":"https://www.mind.org.uk/information-support/types-of-mental-health-problems/hypomania-and-mania/causes/","title":{"tagName":"span","source":"Hypomania and mania. (2020)."}},{"displayLink":"ibpf.org/about-bipolar-disorder/i-am-newly-diagnosed-with-bipolar/","link":"https://ibpf.org/about-bipolar-disorder/i-am-newly-diagnosed-with-bipolar/","title":{"tagName":"span","source":"I am newly diagnosed with bipolar. (n.d.)."}}],"byline":{"authors":[{"id":505,"name":{"display":"Gloria Oladipo","first":"Gloria","last":"Oladipo"},"type":{"value":"author","label":"Author"},"nid":"","specialties":[],"guestTitle":"","bio":{"text":""},"avatar":{"title":"","src":""}}],"medicalReviewers":[{"id":2821,"name":{"display":"Alex Klein, PsyD","first":"Alex","last":"Klein, PsyD"},"userLogin":"aklein","links":{"website":"http://www.dralexklein.com/","facebook":"","linkedin":"","twitter":"","instagram":"","tiktok":""},"type":{"value":"medical_reviewer","label":"Medical Advisor"},"nid":"164043","specialties":[],"guestTitle":"","bio":{"text":"\u003cp\u003eDr. Alex Klein is a licensed clinical psychologist who specializes in psychotherapy and assessment. He received his doctorate in clinical psychology from the Wright Institute in Berkeley, CA. He works at Kaiser Permanente Oakland and has a private practice. His primary interests include neurodiversity, couples and family therapy, social justice, parenting challenging children, consulting on educational programs, integrative approaches to psychotherapy, and the supervision of graduate students. Dr. Klein loves spending time with family and friends, music, and exploring the outdoors with his wife and twin daughters in the Bay Area.\u003c/p\u003e\n"},"avatar":{"title":"","width":200,"height":200,"src":"https://post.psychcentral.com/wp-content/uploads/2021/04/200x200_Alex_Klein_mug.png"}}],"id":"psy-53031","updateReason":[],"editor":"Kristin Currin-Sheehan","factCheckedBy":"","factCheckers":[],"articleHistory":{"2014-05-19":{"updateReason":[],"authors":"Margarita Tartakovsky, MS","medicallyReviewedBy":"Scientific Advisory Board"},"2021-05-18":{"updateReason":[],"authors":"Gloria Oladipo","editor":"Kristin Currin-Sheehan","copyEditor":"Jamie Elmer"},"2021-05-03":{"medicallyReviewedBy":"Alex Klein, PsyD"}},"articleDates":{"factChecked":{"date":null,"display":""},"medicallyReviewed":{"date":1620000000,"display":"May 3, 2021"},"published":{"date":1400499933,"display":"May 19, 2014"},"lastUpdates":{"date":1621296000,"display":"May 18, 2021"},"modified":{"date":1656087782,"display":"June 24, 2022"}},"type":"healthfeature","language":"en"},"isCorp":false,"isReference":false,"isPremiumVideo":false,"isStandaloneVideo":false,"isStandaloneRecipe":false,"schemaObj":{"@context":"https://schema.org","publisher":{"@type":"Organization","name":"Psych Central","logo":{"@type":"ImageObject","url":"https://images-prod.healthline.com/hlcmsresource/images/frontend-static/psychcentral-logo@2x.png"}},"@type":"MedicalWebPage","headline":"Dealing with Bipolar Disorder Manic Episodes","description":"Learn strategies to prevent or manage manic episodes in bipolar disorder before they escalate.","keywords":"how to manage mania","author":{"@type":"Person","name":"Gloria Oladipo"},"lastReviewed":"2021-05-03T00:00:00Z","url":"https://psychcentral.com/bipolar/strategies-for-reducing-signs-of-mania-in-bipolar-disorder","datePublished":"2014-05-19T11:45:33Z","dateModified":"2021-05-18T00:00:00Z","articleSection":"Uncategorized,blog","correction":{"@type":"CorrectionComment","text":"","datePublished":"2021-05-18"},"reviewedBy":"Alex Klein, PsyD","thumbnail":["https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/04/PC-Female-Overhead-Journal-Writing-732x549-Thumbnail.jpg"]},"hero":{}}},"ampLibs":{},"scrollArticles":[{"title":["How Long Will a Bipolar Disorder Manic Episode Last?"],"text":["Learn how long bipolar disorder mania symptoms can last here."],"link":"/bipolar/how-long-is-a-typical-bipolar-manic-episode","imageAlt":"How Long Will a Bipolar Disorder Manic Episode Last?","thumbnail":"https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/04/portrait-serious-nervous-psych-central-732x549-thumbnail.jpg","medicallyReviewedBy":{"reviewerName":"N. 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Jamie believes in the healing power of breaking down stigma and the importance of validating people’s lived experiences.\u003c/p\u003e\n"},"avatar":{"title":"","width":500,"height":500,"src":"https://post.psychcentral.com/wp-content/uploads/sites/4/2021/02/MNT-Bio1-500x500-1.png"}}],"reviewedByHeader":"Medically reviewed by"},{"title":["What to Know About Hypomanic Episodes"],"text":["Hypomanic episodes are periods of energetic, happy, or irritable mood linked with bipolar disorder. Learn about their symptoms and how to manage them."],"link":"/disorders/hypomanic-episode-symptoms","imageAlt":"What to Know About Hypomanic Episodes","thumbnail":"https://media.post.rvohealth.io/wp-content/uploads/sites/4/2021/01/Male_Hat_Car_732x549-thumbnail-732x549.jpg","medicallyReviewedBy":{"reviewerName":"Timothy J. 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