An individual on a manic high can be extremely volatile, may exhibit pronounced tendencies toward risky behaviors, often becomes a sexual predator, and may move from being the fast-talking 'life of the party' type to that of a physically aggressive, belligerant danger to theirself and others. Under no circumstances should one attempt to care for a person in an extreme state without the aid of a trained physician and hospitalisation.
One can experience delusions and suicidal ideation: death being
preferable to the current, and continuous, agony. This period may change rapidly for some rapid-cycling bipolars, or it may be the more dominant mood.