How to Stop a Manic Episode Immediately

Bipolar Disorder
Read Time: 5 Minutes
Written by:Bisma Anwar, MA, MSc, LMHC

Published On: January 17, 2025

Medically reviewed by: Dr. Karmen Smith, LCSW, DD

Reviewed On: January 17, 2025

Updated On: January 17, 2025

Overview

Manic episodes are very intense and overwhelming — for the person experiencing them and for anyone witnessing them. When left untreated, episodes can last a week or longer. Mania presents in several mental health conditions, including schizoaffective disorder and postpartum psychosis, but bipolar I is the most common condition it occurs in. 

During a manic episode, you may feel extremely “up” — full of energy, enthusiasm, and an urge to keep moving. Your mood might feel euphoric, but it can also lead to impulsive or reckless actions, like overspending, talking excessively, or engaging in risky behaviors. Sleep becomes difficult, if not impossible, and the constant activity can feel like a whirlwind. Often, manic episodes are followed or preceded by periods of depression, creating a challenging cycle.

While the intensity of mania can be daunting, there are ways to help reduce or stop a manic episode. It’s important to note, though, that many strategies are temporary fixes and may not prevent future episodes. The most successful, long-term management of mania requires a combined approach of ongoing therapy, medication, lifestyle changes, and support. 

If you or a loved one is dealing with the extreme highs of mania, help is available. Read on to learn how to get out of a manic episode​

1. Recognize the Early Warning Signs

Mania is marked by an intense surge of energy, racing thoughts, impulsive behavior, and the risk of getting caught up in unhealthy or dangerous situations. Learning how to stop a manic episode immediately can de-escalate a situation before it causes lasting harm.

One of the most effective ways to manage mania is to learn to recognize warning signs early. The sooner you can spot the onset of an episode, the more control you have in preventing it from escalating. Loved ones can play a crucial role by staying alert to any shifts in behavior or patterns and stepping in with support at the right time.

Keeping a mood journal or tracking changes in behavior can be an invaluable tool. By noting triggers and observing recurring patterns, you can pinpoint specific warning signs before they spiral. Having a physical record to review makes it easier to identify what might be setting off manic episodes and allows you to take proactive steps toward intervention. With this awareness, you can act more quickly and effectively to prevent a full-blown episode.

Early warning signs of an impending manic episode can include:

  • Increase in energy or activity levels
  • Racing thoughts
  • Rapid speech
  • Heightened irritability or aggressive behavior
  • Impulsive decision-making
  • Risky behavior
  • Reduced need for sleep

iconExpert Insight

““Recognizing these signs early is crucial, as timely intervention can prevent the escalation of symptoms, reduce the risk of harm, and support effective treatment.”
Licensed Mental Health Counselor (LMHC), MA, MSc Bisma Anwar

2. Focus on Grounding Techniques

Grounding techniques are powerful tools for reconnecting with the present moment and regaining a sense of stability during a manic episode. Studies show that grounding can promote emotional regulation, which can be incredibly challenging when experiencing the rapid mood swings and heightened emotions associated with a manic episode.

Grounding also supports both the central and peripheral nervous systems, which can be affected during manic episodes. By focusing on the present and engaging your senses, grounding helps counteract the overwhelming feelings and racing thoughts that often accompany mania, giving you a sense of control and breaking the intensity of the episode.

Here are some simple and effective grounding techniques that can provide immediate relief:

  • Deep breathing: Take slow, deep breaths while focusing intently on the sensation of each inhale and exhale. Deep breathing helps calm the nervous system, reduce physical tension, and slow down a racing mind, promoting a sense of peace and relaxation.
  • Physical sensations: Engage your sense of touch by holding a cold object, like an ice cube, or running your hands under cold water. Focusing on these tactile sensations can help ground you in the moment and distract you from the chaos of racing thoughts.
  • 5-4-3-2-1 technique: Engage your senses to bring your attention to your surroundings. Name five things you can see, four things you can feel, three things you can hear, two things you can smell, and one thing you can taste. This simple exercise helps anchor you in the present and can provide immediate clarity during overwhelming moments.

3. Reduce Stimulation in the Environment

Reducing external stimulation is a key strategy for managing a manic episode. By minimizing sensory overload, you can create a calmer environment that allows you to focus on regulating your emotions rather than reacting impulsively to triggers. A soothing, less chaotic environment can help interrupt the cycle of mania and make it easier to regain control.

Here are some ways to reduce environmental stimulation:

  • Dim the lights: Bright, harsh lighting can increase agitation and stress. Soft, ambient lighting can help create a more relaxed atmosphere.
  • Lower noise levels: Loud or sudden noises can feel overwhelming during a manic episode. Reduce background noise by turning off the TV or music, or retreating to a quieter area.
  • Move to a quieter space: If possible, move away from crowds or busy environments. A quiet, calm room can offer a peaceful setting to regroup and refocus.
  • Limit screen time and social media exposure: The constant stream of information and stimuli from screens can increase anxiety and agitation. Take a break from your phone, computer, and social media to avoid triggering further stress.

4. Practice Mindfulness or Meditation

Research suggests that practicing mindfulness — the art of staying in the present — can improve cognitive functioning and help decrease the intensity of manic episodes. While mindfulness meditation may not come naturally to everyone, it’s a simple skill that can be mastered with practice. Using these techniques can help calm the nervous system, reduce agitation, and stop a manic episode.

For those looking for a holistic approach to mental healthcare, mindfulness can do more than just help stop a manic episode without medication. It’s also a valuable tool for treating anxiety, depression, bipolar symptoms, and other mental health conditions.

Here are some mindfulness practices that can help stop a manic episode:

  • Focus on the breath: Sit quietly and focus on your breath, counting each inhale and exhale. Slow, intentional breathing helps reduce agitation and calms the nervous system, grounding you in the present moment.
  • Guided meditation: Short, guided meditations — available on apps or online platforms — can be incredibly effective for slowing racing thoughts and restoring a sense of calm. Listening to a soothing voice can help guide your mind back to a peaceful state.
  • Body scans: A body scan is a mindfulness practice that helps you reconnect with your physical self and distract from overwhelming thoughts. To do a body scan, close your eyes and start by focusing on the top of your head. Gradually bring your awareness down through your body, from your neck and shoulders to your toes, noticing any sensations or areas of tension. This practice promotes relaxation and can help break the cycle of racing thoughts.

5. Use Medication as Prescribed

Medication is the gold standard for managing bipolar disorder, and research shows the right drug can be beneficial during manic episodes. 

It’s important to note that while drugs like mood stabilizers or antipsychotics help balance emotional states, there’s a potential for medication misuse in people with bipolar disorder. If medication is prescribed, it’s crucial that it’s taken as directed. Maintaining a consistent medication routine is essential for acute and long-term management of bipolar disorder symptoms. 

iconExpert Insight

“Medication adherence is vital in managing manic symptoms. It helps stabilize mood and prevent episodes of mania or depression. Skipping doses or stopping medication can lead to relapse, increased severity of episodes, or complications in recovery. Consistent adherence and regular monitoring by healthcare providers ensures effective symptom control and improves overall quality of life.”
Licensed Mental Health Counselor (LMHC), MA, MSc Bisma Anwar

If medication is ineffective or unwanted side effects are too much, talk to your doctor about changing your dosage or trying a new medication.

6. Seek Immediate Help if Necessary

Manic episodes can feel overwhelming and nearly impossible to manage without professional support. Do not hesitate to seek help immediately if you or someone you know is experiencing mania, especially if there’s any risk of self-harm or harm to others. Approaching the situation with compassion and understanding is key, as someone in the midst of an episode needs support, not judgment. Remember, reaching out for help is a sign of strength, not weakness.

Here are some options for finding help during a manic episode:

  • Contact a mental health professional: Call a therapist, psychiatrist, or healthcare provider for guidance and support. They can help assess the situation and provide a treatment plan to manage the episode.
  • Use crisis services: Many areas have 24/7 crisis hotlines or mental health response teams that offer immediate assistance, whether it’s over the phone or in person.
  • Request emergency services: In severe cases, or if there’s an immediate safety risk, don’t hesitate to call 911 or go to the nearest emergency room. Getting emergency help can prevent harm and provide a safe space for someone in crisis.

There is no shame in asking for help — it’s an essential step in ensuring safety and well-being during a manic episode.

Moving Forward with Long-Term Strategies

While the interventions and techniques we’ve discussed can provide immediate relief, implementing long-term strategies is crucial for effectively managing manic episodes in bipolar disorder or other mental health conditions.

A consistent and comprehensive care plan is key to maintaining stability and reducing the frequency and intensity of manic episodes. This plan should include therapy, bipolar disorder medication, and lifestyle changes, all of which work together to promote long-term emotional regulation. Research shows that combining therapy with medication can significantly reduce the number of manic relapses and extend the time between episodes, providing greater overall stability.

Here are some suggestions for long-term management to reduce the frequency and duration of manic episodes:

  1. Ongoing therapy: Work with an experienced licensed mental health professional to address underlying issues and develop effective coping skills. Psychotherapy and cognitive behavioral therapy (CBT) have been shown to be highly effective in managing symptoms of mania by helping to reframe thought patterns and develop healthier behaviors.
  2. Healthy lifestyle: A balanced diet, regular physical activity, and consistent sleep are essential for mental health. Focus on eating nutritious foods, staying active, and prioritizing rest. Additionally, limiting caffeine, alcohol, and recreational drugs can help stabilize mood swings and prevent triggers.
  3. Support networks: Building and maintaining strong connections with people who understand and support you can make all the difference. Engage with trusted family members, friends, or support groups that provide encouragement and understanding during difficult times.

Take the Next Step with Talkspace

To stop manic episodes and manage bipolar disorder, you need ongoing support and professional care. Talkspace offers online therapy for bipolar disorder so you can learn effective coping strategies to help maintain emotional stability.

Whether you need immediate assistance during a manic episode or are looking for long-term support, Talkspace provides a convenient and accessible way to prioritize your mental health. Get started at Talkspace today to get online treatment for bipolar disorder.

See References

Bisma Anwar

Bisma Anwar is the Team Lead for the Talkspace Council of Mental Health Experts. A major focus in her work has been anxiety management and helping her clients develop healthy coping skills, reduce stress and prevent burnout. She serves on the board of a non-profit organization based in NYC called The Heal Collective which promotes advocacy and awareness of mental health issues in BIPOC communities.

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