If you think it's an emergency, call 911.Thinking about suicide or in crisis? Call or text 988.Being hurt or threatened at home? National Domestic Violence Hotline: 1-800-799-7233.Help with alcohol or drug use: SAMHSA Helpline, 1-800-662-4357.
Overview
Mania can last days or weeks.
It can be followed by depression.
When to get medical care
Call 911Thoughts of harming yourself or others: call or text 988, or call 911 if you're in danger.
Get care todayNot sleeping for days or risky behavior.
See a doctor soonMood episodes.
Causes
Causes include bipolar disorder and substances.
OwieClear has pages on 1 condition that can cause times of very high energy and little need for sleep. Each shows how soon to get care.
Common causes
- Bipolar disorderSee a doctor if it doesn't get better
Mood swings between lows (depression) and highs (mania), when someone has lots of energy, needs little sleep, talks fast, or takes big risks.
What you can do at home
- Keep regular sleep.
- Avoid alcohol and drugs.
Medicines
Mood stabilizers and therapy.
At the doctor
An evaluation helps.
Questions you may be asked
- Episodes
- Sleep
The exam
A physical exam.
Tests
- Screening
Prevention
Prevent episodes.
- Regular sleep
Check your symptoms
Most symptoms have more than one possible cause. The symptom checker looks at all of your symptoms together, plus your age, and shows how soon to get care.
Sources
Last updated 2026-11-13.