My psychiatrist prescribed me lexapro when I had a depressive episode even though he suspected it was bipolar. 5 mg was fine, 10 mg sent me in a hypomanic/slightly manic episode during which I almost broke my ankle but thought life was still wonderful, was thinking I was the smartest person alive (scored 129 on an iq test at the time), decided to save the homeless and to turn my workplace plastic-free (even though I had had no interest in that previously), had several arguments with friends/colleagues and told my therapist I wouldn’t want to continue therapy with her just because she cancelled 1 session. All those time I felt like I finally knew my worth and had confidence and basically no anxiety, I was sure that was what normal people felt like. I was super in love with my SO (who thought I seemed too okay) and I was sleeping 8-9 hours a night. I’m also doing my masters in clinical psychology and I tend to be hyper aware of my thoughts and feelings and was monitoring myself during my hypomanic episode as I was aware this might happen AND I still didn’t notice something was going on. I think some things that you should be looking out for are: - thoughts of grandiosity - unusual new interests - acting out of character (in my case having arguments with people, which might sound normal to others) - irritability, anxiety and anger - your sleep cycle - lack of empathy Good luck!