What happens when a person with bipolar disorder is off their meds?

What happens when a person with bipolar disorder is off their meds?
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Even if you do send them to segregation, wouldn’t you also want to send them to medical? I’d assume you’d want to find out if they’re really bipolar, and if they are, get them back on meds… for your own sakes as the jail staff, if nothing else. Why deal with someone manifesting bipolar if you don’t have to?
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