Yep, I agree on that when we are approaching,and can recognize,manic behaviour or even a manic episode(which many of us learn to do from past experience(s) )it is and/or should become our responsiblity to seek help,which more or less I mentioned in my last reply, but I forgot to say or suggest.
Yes,we do have a choice,hopefully many of us will not wait till things derail,which has the potensity of abuse,verbal and/or non verbal.
Those not familar with the subtle signs,newly DXed,may not yet know or are in tune with the "signs",but hopefully over time,with treatment,will develop the ability to recognize changes that can eventually turn into mania,or even the flipside,depression.
I can't stress it enough for people to seek help,not only the person with the disorder,but including those that share their lives with them.
At the same time,yes,people shouldn't have to tolerate the negative behaviour,abuse,etc. Probably the best thing for those who cannot tolerate,or don't feel they should,is to avoid the person during their manic episodes,don't even try to argue or reason with the person during this time,especially if they refuse pdoc care.
Trying to be with someone who refuses treatment,is near impossible or even dangerous, as things deteriorate (sp?)it is in the best interest for both,to resort to 9-1-1 if there signs of violence developing.
I am not saying to jump to conclusions and get 9-1-1 happy,but realize it's an alternative.
As someone posted previous,it is important to tell the dispatch the person has a disorder,so that the proper approach to this person,rather physical and/or verbal can be made by those who respond to your call.
Again,I'm most likely rambling,but just wanted to add my rusty,2 cents.
Davey, you are quite an asset to this forum,thanks.

DE