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Unholy mess described how I feel as well. However, many times during a mania state, sometimes just before my crash I get extremely anxious, agitated, begin to rage and have even been admitted to the hospital short term for panic attacks. By the time tha anxious,and panic attack symptoms are gone, so is the mania, first Im in an adrenalyn like calm, sometimes within a few days I return to mania, other times astart a low disent into deppresion, not always, actually rarely severe depression, but a state completely different than the mania.
For me the main negative effect of mania is the peak which results in irritability, anxiety and sure panic, the racing of my heart is much different than the earlier racing feeling when I felt on top of the world, but much more like Im in a car spinning out of control
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