Nick, you came here for advice and here's my two cents. You need to take a break from this relationship, you both need to agree to take a break (I would suggest a month). During this time, she can focus on therapy, medication adjustments, and rest. You can educate yourself more on BP disorder. Read some books, etc. Also during this break time, hopefully you and she will be able to gain some perspective on your relationship as well, with no pressure, no drama, no "scenes". I also think it would be a good idea for you to examine, with the help of a therapist, what you are experiencing and how you are relating to her, and your concerns about BP, the relationship etc. You both need some distance and some recuperation time. Time to think, time without pressure or obligations. If this relationship is meant to be, you should explore your own feelings, thoughts, ways of relating, etc. with the help of a therapist. If it is not meant to be, you will still find the input of a therapist helpful in helping you to move on. There is far too much drama going on to get a grip on anything. In my experience, drama usually heightens in BP when the patient is not compliant with medications, or their medications need serious adjustment. There is nothing you can do about that. It is out of your control. You can't "make" her do anything. Forcing issues (even if it is with all good intentions) is not going to help. Take a break and use that time wisely. Good luck to you.