For me, my mania was VERY real, and very spiritual. I had conversations with Jesus and in my heart it felt real and it was beautiful.
However, the financial implications of my mania were catastrophic but the feelings of euphoria were so out of this world it felt like aliens from another world were communicating with me.
I have had conversations with my T about this and he is very open to other worldly "possiblitlies" Just like you BipolarNurse, my therapist and psychiatrist are open to the fact that there are other dimensions and places of the mind that are uncharted, and as bipolar folks we experience things that can easily be explained away with a diagnosis, but at the same time it is a very spiritual experience.