I don't know, but if it were me, I wouldn't put anything about having a manic episode. It's none of their business what kind of episode you're in. Let your p-doc explain that you are undergoing a meds change (and why if necessary) and leave it at that. I agree with the others to be as brief as possible and let the professionals sort it out. Your psychiatrist's word will mean much more than your own to an administration...especially if they already have it out for you. Sorry you're in this situation.