I got up and started doing things and then shortly thereafter realized that I'm back in mania. Racing thoughts. Packing three different boxes at the same time. A tremor in my hands. The Monday morning team meeting in which I rambled on about nothing thinking that others would find it amusing. Zero ability to focus.

There is no way that I can do any consequential billable work today.

Is this a response to long-term stress? Will this cycle of up and down end after a period of time?

Do I just need to go for a run?