@ green-orange... i would have to agree with the others that her behavior suggests possible bipolar disorder with some psychosis... it sounds like there's a LOT going on in her brain & if she's like most of us, sometimes it's so overwhelming that she can't contain it... and she probably doesn't understand most of it...

rest assured, most people diagnosed with bipolar disorder (at some point) struggle with taking their meds... we get to a point where we're fine & it becomes crystal clear (to us, in our own heads) that we don't need any medicine... even while it's glaringly obvious to everyone who knows us that we do, in fact, still need our meds.. it's a vicious cycle... one that many of us have survived... albeit not without scars of some sort...

i don't have the answers for you as to what she is suffering inside or how to best handle it.. i wish it was that easy... that any one of us would have the right words to tell you to make this situation more bearable & bring a positive resolution...

with a friend of mine who is often reluctant to maintain his medication regimen... all i can do is be there... occasionally, when he's just skyrocketing beyond hyper & i know it's because he hasn't taken his meds, i'll ask him GENTLY if he's thought about taking his medication that evening... i can only do this because he and i have an understanding (being that we both suffer some of the same problems) & there is a tone about my voice when i express my concern... i am always supportive.. even when he's taking on eighteen projects at once & his speech is so fast, i'm probably the only one who can make out what he's saying... and it goes over ok with him when i mention his meds because he is self aware enough and intelligent enough to be able to step back and recognize that even for him, his behavior is somewhat extreme.. he has also already come to a place in his life where he has accepted that he has certain mental illnesses.. and lucid enough to understand my asking as an expression of concern... not as an accusation or ... well, anything negative

that is tricky though... for someone that you're not especially close to... repeatedly asking someone if they've taken their meds, or constantly nagging them to do so.. is like throwing gasoline on a fire... you will get burned...

as out of control as she is, i hate to say it, but hospitalization may be best for her... although she will resent you & possibly even hate you for it...

you should prepare yourself, however, to accept that she may never acknowledge that she has any sort of mental problem.. in which case, it is highly unlikely she would ever willingly take the meds that it sounds like she so desperately needs... i know that's heart breaking to hear... but sometimes it's just the truth.