Have lived with this for quite a while and know the signs: difficulty sleeping (2 nights in a row), talking too much, appetite changes, difficulty making decisions (questioning myself), etc. I know an episode is coming. Does anyone have suggestions to help me not go into full blown mania? My MD is out of office until Monday and I'm looking for ways to avoid having things get really bad. After 3 bad nights sleep, things get out of control for me.