I don't know for sure. I know my therapist asks me sometimes if I am having manic thoughts or behaviors. I would think if you notice the ramping up occurring, then you could mention it to your therapist or psychiatrist to see what he/she says about the possibility of being able to control it before it gets out of hand....I think once it gets to a certain point we are not going to be able to pull out of it. I know I don't like being manic myself, so I would like to stop such behaviors before I go that far.