What happens during episodes of euphoric mania in bipolar disorder?

In the early phases of euphoric/expansive mania, the person may actually experience a tremendous sense of well-being. However, often as energy begins to escalate and thoughts become more rapid, it starts feeling like an engine running out of control. Wildly creative thoughts disintegrate into chaos and confusion, high energy turns to agitation, good judgment is lost, and even very bright individuals can neither think clearly nor recognize that their out-of-control behavior is dangerous to them or to their loved ones.

Upbeat moods quickly collapse into intense irritability and the person in the manic episode loses their ability to function normally. Psychosis often may appear when a manic mood swing goes this far.

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