How can an unmedicated bipolar sufferer get their body to start a manic episode?

So, like how can a person with bipolar disorder but doesn’t use antipsych meds get their body to go into a manic state? Obviously if they were medicated they’d just stop their meds but how else can one get into a manic state? Caffeine only helps prolong an episode once started. Now, how do u get it started?

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