I was reviewing some older posts Moose and came across this link that made me think of you:
How To Prevent a Manic Episode
One of the key factors that seem to be so vitally important to people is that they be able to maintain some degree of control over what happens to them. It can be humiliating and discouraging to have other people step in and impose control. A quick review of that article might give you some ideas on what you can do that will allow you to maintain control. Naturally, if you choose to go to the local ER, that's a choice that you have made on your own behalf -- it's not one that's forced upon you.
I'll continue to wish you the best of luck Moose. Crashes are no fun for anybody.
~ Namaste