I was just there in time square mania with you. It is such a horrible feeling I'm sorry you're going through it. I suggest clean and clean some more, beats pacing. I know what you mean don't take the med too early, that just creates more tension when it doesn't work. Can you tell pdoc you're in mania? Mine put me on depakote & it took 7 additional days of hell to work but it is working. She doesn't want me back on benzo's. Alcohol is certainly no relief for mania. I tell myself nice things like just keep moving we are just gonna keep moving and we are doing great. And I tell myself to Stop often when it gets nasty in my head. I finally found a way to deal with the head noise and horrible looping pop radio songs - I play a song in my head that I love & don't mind it being there. Right now for me it's Bella's lullaby from twilight. I'm having some relief from that. I'm also trying binaural beats on relaxation tones on headphones. I asked pdoc last week about the sounds in my head she said normal for mania just part of the racing thoughts stuff. It really sucks. Hope it gets better real soon for you!