The time it takes for someone to fully realize reality after coming down from a full manic episode can vary depending on several factors, including the individual's overall mental health, the severity and duration of the manic episode, and whether they receive appropriate treatment and support.
In some cases, individuals may regain touch with reality relatively quickly after the manic episode subsides. As the effects of mania wear off, their thinking may become clearer, and they start to recognize the consequences of their actions during the episode.
However, for others, the transition back to reality may be more gradual and take some time. This could be due to residual symptoms, exhaustion, or a need for recovery after an intense period of high energy and erratic behavior.
It's important to note that even after the acute manic episode has ended, individuals may still experience some lingering effects or have difficulty processing what occurred during the episode. They may feel guilt, shame, or confusion about their actions and decisions while manic.
Additionally, coming down from a manic episode can also trigger depressive symptoms, leading to a mixed state or rapid cycling, which further complicates the person's emotional and cognitive state.
Proper treatment and support are essential during this period. Seeking help from mental health professionals can aid in the recovery process and help individuals understand and cope with the experiences and consequences of the manic episode. Therapy, medication, and a strong support system can all play crucial roles in helping someone recover and stabilize after a manic episode.