
As someone with Bipolar I, in the very very beginning I can kinda clock it or question it. Hypomania. But by the time I'm actually IN a real manic episode? Nope, no clue. Maybe for a moment occasionally 'FUCK I'm manic' slips through. But my hands are completely off the wheel, I can't do shit about it, and the thought/realization is dissolved within a nanosecond anyways.