I think many of us will agree, that with bipolar or the extreme case, i/e. pyschosis, the voices are auditory hallucinations, and you hear them outside your head. Like someone standing beside you or above you.
When you are manic, there are I suppose alot of thinking going on, rambling of thoughts that seem to never stop sometimes. But they are not individual voices as you described. Mine is usually attributed to high stress, lack of sleep ( due to a manic episode), anxiety. When I got off my anxiety meds withdrawls caused alot of paranoia, and when I felt psychosis coming on , I had to take a resperdol. But that is what my doc prescribed for me til the episode passes.
Hearing things, such as voices can indicate one of several things, depending on whether the individual is paranoid at the same time... and fear and paranoia can be quite different.
Here is a website dedicated to voices
http://www.hearing-voices.org/information.htm
I am bipolar 1, and have experienced psychosis numerous times. And this is the description I would give to my voices. I also had visual hallucination that went with it at times, and other times the hallucinations were frozen images, I had to walk up to to assure myself whether they were real or not. Sometimes they moved, but never talked.
I would suggest that whenever this happens, he write it down, the day, the time, the gender of the voice, and what it says to him, and also if he is seeing the images, and on his next visit show his doc.
He may need to temporarily be on an antipsychotic til it passes.
does he act paranoid?
Keep us informed. We learn something new everyday.
My best to you and him,
http://www.psycheducation.org/FAQ/MoodCharts.htm
If you want a chart to print let me know. or go to the upper section of this forum about mood charts there is .pdf link there.
ddee