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If a mental health provider believes that an individual is experiencing severe and potentially dangerous manic symptoms, they may consider calling 911 or taking immediate action to ensure the person's safety and well-being. The decision to call 911 is typically based on the severity of the symptoms and the risk of harm to the individual or others. Some manic symptoms that may prompt a provider to call for emergency assistance include:

  1. Dangerous impulsivity: Engaging in high-risk activities without considering the consequences, such as reckless driving, excessive spending, or substance abuse.

  2. Psychosis: Experiencing hallucinations (seeing or hearing things that are not there) or delusions (having false beliefs that are not based in reality).

  3. Aggressive or violent behavior: Displaying hostility, agitation, or threatening actions towards oneself or others.

  4. Inability to care for oneself: Neglecting basic needs like food, hygiene, and medication due to the intensity of the manic episode.

  5. Disrupted or chaotic behavior: Demonstrating extreme restlessness, agitation, or a flight of ideas, where thoughts are racing and disconnected.

  6. Severe sleep disturbances: Going days without sleep or experiencing extreme insomnia.

  7. Suicidal ideation: Expressing thoughts of self-harm or suicide, especially if the individual has a plan or access to means.

  8. Engaging in self-destructive behavior: Engaging in acts that may cause harm or injury to oneself.

It's important to understand that calling 911 in these situations is done with the individual's safety in mind. Emergency responders, such as paramedics or police officers, are trained to handle psychiatric emergencies and can provide immediate support and transport the person to a hospital for further evaluation and treatment.

If you or someone you know is experiencing severe manic symptoms or a mental health crisis, it's essential to seek help immediately. Reach out to emergency services or go to the nearest emergency room. Additionally, having a crisis plan in place, which may involve contacting a mental health professional, a crisis hotline, or a trusted support person, can be beneficial for managing such situations in the future.

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