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How to manage a manic episode

Writer: Susan Broussard LMFTSusan Broussard LMFT

During a manic episode, it’s important to take steps to prioritize safety, calm the situation, and manage symptoms. Here are some strategies:


1. Recognize the Signs


Understanding that you are experiencing a manic episode can help you take steps to manage it before things escalate further. Symptoms might include racing thoughts, impulsivity, increased energy, elevated mood, irritability, or decreased need for sleep.


2. Create a Calm Environment

• Reduce stimulation: Turn off loud music or bright lights. Quiet, calm spaces help reduce overstimulation.

• Limit distractions: Try to reduce external demands, like social obligations or excessive tasks, to focus on taking care of yourself.


3. Reach Out for Support

• Talk to someone you trust: A supportive friend, family member, or therapist can help ground you.

• Contact your healthcare provider: They can guide you on medication adjustments or offer immediate advice.


4. Focus on Grounding Techniques

• Deep breathing: Slow, deep breaths can help manage overwhelming feelings.

• Mindfulness: Focus on the present moment to counteract racing thoughts.

• Gentle physical activity: Take a walk or do some light stretches to release pent-up energy in a controlled way.


5. Avoid High-Risk Behaviors

• Resist impulsive decisions: Try to refrain from making major life decisions or taking unnecessary risks, like spending large sums of money, quitting a job, or engaging in reckless behavior.

• Limit substance use: Avoid alcohol or drugs, as they can exacerbate manic symptoms.


6. Maintain a Routine

• Sleep hygiene: Try to get some rest, even if you don’t feel like you need much sleep. Lack of sleep can worsen mania.

• Eat healthy meals: Focus on balanced meals to maintain physical stability.


7. Consider Medication Adjustments


If you’re already on a mood-stabilizing medication or other psychiatric treatments, consult your doctor. Sometimes adjusting the dosage or adding another medication can help reduce symptoms.


If the manic episode becomes severe (e.g., dangerous behavior, psychosis, or hospitalization is needed), seek immediate medical help.


Would you like more specific coping strategies or advice based on your current situation?

 
 
 

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