First, I have severe, untreatable bipolar, so I'm not just writing platitudes. That said, is there a reason you can't share your diagnosis with your family? Saying that, I understand that not all parents or spouses are empathetic or supportive. Some people just don't get it, no matter how clearly and simply you explain it to them. Whether their lack of empathy is driven by fear, ignorance, religious views or other factors, it only adds to the uncertainty and anxiety you're experiencing. All you can do is tell them. How they respond isn't something you should internalize. Maybe easier said than done but you are only responsible for you. IM me if you need a veteran of the bipolar war to chat with. Yes, it's a difficult time but I bet you're stronger than you realize.