Back in April, I had to take a mental health leave from work. I had started a mood stabilizer which somehow triggered a manic episode. I was awake for 4 days straight and sleeping pills weren't helping. I've been doing pretty well since switching medications, but still have very broken sleep. 

I went away for a bachelorette party this weekend. We stayed up extremely late on Friday, had some drinks, and I missed my dose of my mood stabilizer. I got about 4 hours of sleep. I was exhausted all day and now here I am approaching 24 hours (19 currently, feeling wide awake, and head home in 3 hours) of no sleep and I'm worried that one day will turn into four again. Could one night of missed meds and lack of sleep trigger a manic episode or could this just be a coincidence?