Mania was a mental state every bit as dangerous as depression. At first, however, it felt like a rush of euphoria. You were completely captivating, completely charming; everybody loved you. […] But at some point things began to turn. His mind felt as if it was fizzing over. Words became other words inside his head, like patterns in a kaleidoscope. He kept making puns. No one understood what he was talking about. He became angry, irritable. Now, when he looked at people, who’d been laughing at his jokes an hour earlier, he saw that they were worried, concerned for him. And so he ran off into the night, or day, or night, and found other people to be with, so that the mad party might continue.
Like a drunk on a bender, Leonard had a blackout afterward. He woke up next to Lola Lopez in a state of utter collapse. Lola managed to get him up, however. She led him by the arm to Heatlh Services, telling him not to worry, to hold on to her, that he’d be all right.
It seemed especially cruel, then, three days later, in the hospital, when the doctor came into the room to tell Leonard that he suffered from something that would never go away, something that could only be “managed”, as if managing, for an eighteen-year-old looking out on life, could be any life at all.
The Marriage Plot, Jeffrey Eugenides, pp 246-247