Hello (((DOUBLE))). I have to agree with your Dr if you are manic then things happen that are not in your control such as unmanageable sex acts with different partners for no particular reason except an elevated sex drive. If your Dr gets your meds adjusted then hopefully the mania will subside along with taking the birth control to help sustain a more normal sex drive. The main thing is to get stable and then find out what you would like to do in the future. There are many options available where touching yourself is not necessary while masturbating. Just take things one day at a time and try just to handle the mania at this time, then go on to another issue. Take care. Soidhonia