I described on this board earlier my recent manic episode. I'm on 900 bid of ER lithium now and feeling better but still have smoldering sxs. I'm sleeping like 2-3 hours, maybe 4 on 200mg of trazodone and then wide awake, just me and the night. Still mildly hypersexual, but nothing to get myself into trouble. I'm out of the manic episode enough though to be experiencing intense guilt and regret over my behavior. I could have hurt myself or countless others, screaming down the freeway at 120mph. I could have destroyed everything I love, and everything that loves me, through the manifestations of my hypersexuality. Off to the doctor to shamefully ask for STI screening.

Do you give yourself a break over what you do while manic, or do you hold yourself fully accountable? Someone mentioned they have a method to keep themselves from doing bad things while manic and I am just not sure its mania if you can hold it back. Thoughts?