Help with manic episode! in Bipolar Spectrum Disorder - The Pole Dance Posted May 30, 2013 Pending a doctor visit: 1. The first order of business is the driving! You do not want to hurt anyone. It can happen. If you must, give someone your keys. 2. No caffeine, no alcohol. 3. I'm glad the money isn't an issue yet. That doesn't mean you shouldn't plan ahead. Leave your debit/credit cards and checkbook at home, and except for bills, only pay cash. 4. I talk a lot, and social contact gets me going. I have said things that I regret. You may want to get more quiet time. You can write your thoughts down if they are making you uncomfortable. 5. That said, there are places where, and people with whom, I am relatively safe. If I've been reckless somewhere, it's off limits. 6. Stay away from anyone with whom you might have an inappropriate erotic relationship. I saw a person ruin her life this way. If it's meant to be, the person will still be there when this passes. 7. Moderately intense exercise will buy me some time. Past a certain point, for me, it becomes part of the problem. Three more thoughts. Please don't respond, just consider: (1) 900 mg gives some people a substantial lithium level, and others not; yours should be checked; (2) Does the person who is prescribing your Keppra (which of course you MUST NOT touch on your own) know about your mood? and (3) while it may be good riddance to that psychiatrist, it usually takes a substantial problem to get them to fire you; consider whether something happened there that you'd like to do differently with a new prescriber). Good luck, and sleep well. A cheap fan does wonders for me.