One of the primary outcomes of a manic episode (for me) was the pain of walking to the bathroom. My feet hurt like hell, but so did my joints and the rest of my body. I felt decrepit. Luckily, that stuff mellows with age (at least for me and affected family members). Plus, I learned to manage it with time and experience (plus medication that slows me down when I start noticing the manic ticks that presage an episode).

Also, because I would forget to hydrate (let alone eat), my urine turned dark and smelled awful. I don’t miss it.