Call emergency services now if there is danger, psychosis, suicidal thoughts, violent behavior, or inability to care for self
Go to the nearest emergency room or psychiatric emergency service immediately
Contact the person’s psychiatrist, therapist, or crisis line right now
Do not leave the person alone if they are unsafe
Remove access to weapons, sharp objects, car keys, alcohol, drugs, and large amounts of medication
Reduce stimulation by turning off lights, TV, music, and phones
Move to a quiet, safe room with minimal people and noise
Encourage slow breathing and sitting down
Avoid arguing, criticizing, or challenging delusional beliefs
Speak calmly, briefly, and with simple instructions
Encourage water, food, and rest
Stop caffeine, alcohol, cannabis, stimulants, and other recreational drugs
Do not let the person drive or make major decisions
If prescribed, take medications exactly as directed by a clinician
If medication has been missed, contact a doctor or pharmacist immediately for guidance
Seek urgent medical help if the person has not slept for more than 24 hours, is not eating or drinking, or is becoming more agitated
Stay with the person until professional help takes over
If this is the first manic episode, get urgent medical evaluation immediately