The first time I got manic, ever, I was in college. One morning, my junior year, I woke up around 5 a.m. with so much energy I was compelled to rearrange all the books on the shelf beside my bed in alphabetical order. The strangest thing about bipolar disorder, or one of the stranges things about it, is that sleeplessness is both a cause and a symptom of mania.
What may surprise you is that reduced sleep isn’t just a symptom of mania – a short night can actually precipitate manic and hypomanic episodes. Studies have found that 25 to 65 percent of bipolar patients who had a manic episode had experienced a social rhythm disruption prior to the episode. “Social rhythm disruption” is some disturbance in routine affecting the sleep/wake cycle; it can be as simple as staying up extra late to watch a movie on television or getting wrapped up in an interesting online chat session, or as serious as being unable to sleep due to a family member’s serious illness or death. –bipolar on about.com
I know that I need to log off this computer, find my pills, and take them. Extra Lunesta and Seroquel. I know that’s what I need. So why, then, am I still typing?