Do you get unwanted, disturbing, intrusive thoughts that don't stop during manic or mixed episodes? Stuff you can't talk to anyone about? And you are just trying to go about your business, but there they are...and sometimes, you think it would help if you did something, they are kind of 'telling' you to do something, to calm them, little things. And at first, it feels better, but it turns out that those little things to do to make it less bad actually make the whole thing worse?