For me, it depends on what symptoms I am having with it. I get hypo-manic/depressive mixed episodes, of which, I have a lot of up and down moods with restlessness and muscular twitches/tremors so I know something is wrong. Now that I have had these episodes many times, I know what they are when I get them. Usually, with my hypo-manic symptoms, I have the pressured, rapid speech, of which I know (now that I have done it a few times) that I am having an episode. Normally, I am fairly quiet. I know when I am depresses when I (want to) cry and do nothing all the time.