A member asked:

I have bipolar type1.recently i have been sleeping less and increased impulsive behaviour. i take my meds.what are the chances of a full manic episode?

14 doctors weighed in across 2 answers
Dr. Pamela Pappas answered

Specializes in Psychiatry

It could happen: There can be breakthrough episodes even when you're on your medicines, but the chances are much less. Please contact your psychiatrist asap to tell him/her what's happening. Adjustments can be made, to avert a full episode. Also, if using any alcohol or other drugs, please stop. Make room for healthy sleep patterns -- that is often the first signal that something's amiss.

Answered 11/27/2017

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Caution: Sleep disruption is a common prelude to a manic episode. Treating physician should be consulted.

Answered 5/1/2014

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