Sleep is affected in that it takes longer for my meds to kick in or I'm waking up earlier than is normal. Mine is a slow start and that is why it's hard to catch mine. I also start entertaining the idea of going back to addictive behavior even though I know the consequences could be disastrous. I had a minor manic episode today. I told my husband what I did right when he got home and he wasn't mad but concerned. He said that he had been watching me this week because I had been over-the-top with my reactions to things and talking a lot.