It’s a fair question whether anyone could have a mania or not, something I’ve spent a lot of time thinking about. But consider that someone today has been diagnosed and their family is going through the gamut of treatment options for what best to bring this person out of mania. And I stand by my words; a combination of these drugs brings the desired effect. We can try putting them on a fancy diet or throw them on an exercise machine but a combo of antipsychotics does work best and I would know because I’ve tried everything over my six years of being in the system. You also have to consider how many people self-medicate out of these moods with alcohol and street drugs. I witnessed this first hand when I was on the streets. I’m sorry but using Ativan for the first few days until antipsychotics kick in isn’t nearly as dangerous as being hooked on street substances. Our failure to give pharma ANY credit sets us back as a movement. I’m very surprised at how adamant you are against a technique that does work and has helped pull me out of the depths. The goal is to never be hospitalized again, and so long as I have a bottle of the necessary meds handy, it doesn’t need to happen. That’s the moral of my story.