I’m on my way up. And there are signs—if I look for them, listen to them, use all my senses to detect them—if I don’t, then it’s the lurch in the stomach on the down curve of the rollercoaster that’s often the first sign.

If I’m really paying attention, then I hear it when my assistant says “Aren’t you Miss Polly Productive” when I leave him an enormous pile of dictation tapes, written motion and discovery work, and all the other legal detritus. If I look at my time sheet, I can see that I’ve billed a week’s worth of work in three days, though there’s no need to—I’m just blowing through everything, double time. It’s good work, too. Productive, concise, and necessary. The air’s clearer, the brain’s faster, and I feel more creative—am more creative. I write really well, and a lot, because I sure as hell only need about three hours of sleep.

If I miss that sign, then the next one is this. I’m still Polly Productive—except I’m now Misanthrope Polly Productive. I hate everyone—they’re all out to get in my way, talk with their whiny, annoying voices, bother me with inconsequentials. Every Little Thing They Do Is Enraging. I have road rage. I hate every cashier in every store everywhere who doesn’t blow through the things on the belt with superhuman speed. My critical voice snarks on each person’s shoes, haircuts, grocery selections, each one more worthy of hate than the last. My family and my husband bug the crap out of me, and I can’t understand Why Won’t They Leave Me Alone. There’s no objective perspective on why I’m so irritated.

The physical sensations start as I’m just about to crest from Misanthropic Polly Productive to Downward Spiraling Deirdre Depressed. The strange crown-like feeling on my forehead. That pushing sensation under my sternum. And the sweat. This is weird—but after three or four of these post-diagnosis, post medication episodes, I’ve realized something. When I’m in a high mixed state, and just about to start the long, long slide to the bottom? I sweat. Profusely. And it smells strongly. And my feet stink to high heaven.

Yes, that’s more about me than you want to know, really. But it’s a sensory sign—one that’s so weird that I notice it, even as I’m in the process of that catatonic withdrawal into my head, when the extreme productivity, the crazy irritability, slide by. Crazy has a smell for me, a clear, last-ditch signal. I might not be able to follow my mind all the time, but I can follow my nose. I wouldn’t have noticed it, maybe, if I hadn’t been serious about writing EVERYTHING down in my symptom notebook, but after talking it over with my shrink when I had my lithium toxicity episode, she said… tell me more about the sweating thing. Would I recognize that as a physical sign, even if I’m ignoring the emotional and mental ones? Turns out, I can.

Animals can smell fear. I suppose it’s not as weird as it could be that crazy has a smell that can wake up my animal brain, can trigger that self-preservation instinct that crazy makes it so easy to otherwise ignore. That smell says hey, put the brakes on this thing, slow this roller coaster car down– right now. I should be looking and listening and feeling for signs—but I’ll take the smell if that’s what it takes.