The overspending is very serious. Three years ago (I think it was), I maxed our a credit card. I was hypo/low mania, and I was thinking that I needed these things, that I deserved them, etc. I didn't even stop to think that I was spending more money than I could afford to pay back. Now I am trying my best to pay the money back, but with the high interest rate on the card, I am stuck with most of what I am able to pay being "eaten up" just by the interest rate. If I miss a payment, the loan actually increases! Is there anyone who can manage your money while you go through this fase? Give your card/access to your bank account to a familymemeber f.ex? It sounds a biy extreme, but it is worth it if it will keep you from making a lot of mistakes financially. And I hope you will be able to start taking your meds consistently. It is so hard to control oneself in an episode like what you are going through. Keep in mind though that this IS an episode, and that your BP is causing you to loose sigth of how important it is to take care of yourself. You write that you have a certain tolerance for your meds, so maybe you need to seek advice from your psychiatrist or doctor. Could be that you need something extra right now to get some control. I hate to see another person get stuck in debt, and feeling guilty for what was done in a manic episode. It makes the coming down so much harder. Take care of you