Inclusion Criteria:  Be 18 to 70 years of age Have a Diagnostic and Statistical Manual of Mental Disorders (5th Edition) defined manic symptoms that persist beyond the physiological effects of a substance Be willing to have investigators obtain information from the treatment team and electronic medical record Participants must be able to read and understand English or French. Be willing and able to provide informed consent.  Exclusion Criteria:  Have severe eye disease or trauma Have a history of traumatic brain injury. Have sleep apnea