My warning signs for hypomania are - paranoia, intense need to clean, increased energy, rapid thoughts and speech, and less sleep. I know Im on the way up when I notice those things starting.

The way down is a bit harder as sometimes the depression is mild. I dont always get a low mood but I get low energy, slowed down physically, negative thoughts, low self esteem, loss of interest and pleasure in things I usually enjoy and wanting to sleep a lot.

My emergency plan is PRN first, if that doesnt help, I go to my neighbour or boyfriend, if they think it is hospital time then we try to get an emergency appointment with my pdoc, if thats not possible we go to the emergency department for admission. Hospital is only for extreme episodes. I have other plans for less desperate circumstances.