Psychomotor Agitation- did some more reading. Mental tension and agitation causes the involuntary pacing, wringing of hands ext.

I'm at the height of this manic episode which has been going on just over a month. Psychosis is still present, and I have been rapid cycling a bit then returning to mania. Safe to say I think I am probably just extremely agitated, and under mental distress. Not to mention I am a bit worn out.

I hate to discount anyone's suggestion's, as I appreciate any insight! I will try them out.

DamienV, I don't do this all the time, but I do it when I am having a bad episode, unfortunately my manic episodes are always long and severe. However, when I am out of my house I do stop doing it, so thanks for suggesting that, I think I need a break, so I'll get out of the house for a while. It would be pretty embarrassing to be pacing in public, and public is probably enough distraction that I don't do it. I wish 13 hours was my record

It was mentioned yesterday by my pdoc that if my meds do not work in the next few days I'll be admitted, so I am totally willing to try anything at this point.