I went thru a manic phase for 4 months trying to find the right medication. During that period I went thru the same exact thing. I would be at work and certain noises and certain people's voices would make my blood boil. I would crank up my music to block everything out. I'm on intermittent FMLA and would have to stay home from work several times because I thought I would lose my job going off on someone at work. I can't even give you any advice on this, just that I can relate to what you are going thru. I finally found the right combo of meds and am doing so much better. Are you on any medications, therapy, or have anyone that is supportive?

BP 1-mixed episodes/OCD

Lamictal 400 mg
Haldol 3 mg
Klonopin 1.5 mg