Reply #12: Posted above but didn't really answer the question...

[hayu_lol]

how can you tell of an approaching manic state:

Some signs I've observed:

face contorts, eyes appear wild(only way I can describe it), mood swings, conversation doesn't make much sense, not finishing any task they set out to do, temperment swings, voice changes, periods of being catatonic(short or long), worsening sense of depression, sudden returns to 'normal' behavior before plunging into the depths of despair. Failed suicide attempts.

Sometimes they appear to be perfectly 'normal' in all respects...after a day of being somewhat off the norm. Manic attacks are sometimes sudden/immediate with no symptoms. Could be after a very strange day followed by a normal day and then the next day...on the attack from the time they wake.

If lucky, BPs and their doctor will find the exact right medication. Being zombie-like is something they all hate, causes depression, and ultimately leads to suicide attempts. Or attempting to beat other family members, or trashing the home they live in.

The exact right med will allow them to feel good about themselves, be aware of the world around them, and let them lead 'normal' lives--provided that they stay on the dosage prescribed. They are able to accomplish things, to enjoy life, to enjoy friends, and so on.

This BP thing is one tough mother.