I have struggled with this same question. When I said I told heinous lies, I meant lies as heinous as claiming someone abused me when they didn't. While I'm sure I did this for attention (such as the time I caught my hair on fire), I am also certain I was out of my mind. Because I am certain I would neither have told then nor tell now any of these lies if I was sane, I know that it is not because I am dishonest but because I was extremely unwell. While the responsibility of and repercussions from the lies fall on me, I simply was insane. I do not lie now, whether manic or otherwise.