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Whenever a distressing event unfolds, the DM can choose to activate this trait. 

Roll a Wisdom saving throw. On a successful save, you power through and take no effects. However, on a failed save, you become afflicted with short-term mania and you are subjected to an effect from the Short-Term Mania table for 1d10 minutes.

Short-Term Mania
d10 Effect (lasts 1d10 minutes)
1 The character retreats into his or her mind and becomes Paralyzed. The effect ends if the character takes any damage.
2 The character becomes Incapacitated and spends the duration screaming, laughing, or weeping.
3 The character becomes Incapacitated and enters a trance-like state, forgetting what they were doing.
4 The character begins speaking gibberish and is incapable of normal Speech or Spellcasting.
5 The character falls prone and unable to stand, therefore can only move around by crawling. 
6 The character experiences vivid audio and visual hallucinations and is Blinded and Deafened.
7 The character believes they are a beast and acts in such a manner.
8 The character experiences an overpowering urge to eat something strange such as dirt, slime, or offal.
9 The character is Stunned.
10 The character falls Unconscious.

A Calm Emotions spell can suppress the effects of Mania, while a Greater Restoration spell can rid a character of Mania for 1d12 days. There is no way to effectively or permanently remove Mania.

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