Individual experiences with bipolar disorder can vary widely, and not all people with bipolar disorder will have the same level of insight or control over their actions during a manic phase (or hypomanic phase, which is a milder form of mania). Some individuals with bipolar disorder may have the ability to recognize that they are experiencing a manic episode, while others may not be fully aware of their altered state.
In some cases, people with bipolar disorder may have a condition called anosognosia, which affects their ability to recognize or acknowledge their own illness. This lack of insight can make it challenging for them to realize they are in a manic phase and may lead them to believe that their behaviors and decisions are entirely rational.
For those who can recognize their manic state, the ability to control their actions may vary depending on the severity of the episode, their level of insight, and the support and coping mechanisms they have in place. Some individuals may be able to exercise some control over their behavior with considerable effort, while others may find it extremely difficult or impossible to do so.
It's important to note that bipolar disorder is a complex condition, and the experiences of individuals can change over time and across different episodes. If you or someone you know is struggling with bipolar disorder or its symptoms, seeking professional help from a mental health expert is crucial for accurate diagnosis, treatment, and support. A mental health professional can provide appropriate strategies and interventions to manage manic or hypomanic episodes effectively.