Sleep is crucial so I wonder why your pdoc doesn't prescribe anything for sleep. No sleep usually results in the mania escalating. How are you at the moment? I agree with Bizi that something like Seroquel will likely help you sleep which will hopefully result in a lessening of your symptoms. In the meantime you could ask the pharmacy for something over the counter to help with sleep (provided it doesn't interact with your current meds). Take care and keep posting.