I don’t fake a facade with the pdoc. If I don’t tell him, he can’t help me. Though I have found it is very bad to come to a pdoc appt fully manic in her waiting room and office. By that point, I was beyond helping myself. Probably should have gone to the hospital, but H came, promised pdoc he would make sure I was sleeping well on stronger sleep stuff (before starting Seroquel). I slept a lot, and it broke the manic episode. I was WAY beyond stopping that one and right in front of the pdoc. That episode got me a wonderful bipolar I diagnosis.