For me, it  typically starts with stressful sleep patterns. Over a few days, I start hearing whispers that jolt me awake from whatever little sleep I was getting. From there I start believing I’m psychic or “gifted”. Once I get to that delusional ego phase I tell my husband something is wrong. (If I don’t, literal hell breaks loose.) He’ll push me to go see my doctor and remind me every few hours to take my meds early and get some sleep.