I get very homicidal thoughts when I'm manic but I don't realise they'll injure anyone. So I will completely freely talk about them. When I do realize it will hurt someone is when I'm fantasising what the scene will look like. I write it down because I can vividly see it I can describe it in great detail. So I write it to T. Usually it switches saniros from moment to moment me always the perpetrator. If I start not realizing that its just thoughts. I take my PRN .

When depressed they turn into vivid self harm/suicidal thoughts that I will write in detail to my therapist. Where each thought I hand over each items that I want to use to my husband. If I do not do that, am not willing to write it for therapist or impulsive I take my PRN.

If I get too parinod and trust no one I end up self harming. Usually I can write all my parinod thoughts to my therapist. My older sisters parinoia makes her family live in an open floor plan where the bathroom is the only one with a real door. My younger sister carries at least 3 weapons on her at all times, all the windows and doors have at least 2 heavy duty locks and she has many alarms on each doorway.

If I'm not understanding English I take one of James old posts with pics in it and read over and over until I understand or I'll tap my husband on the shoulder.

My dog tells me when there are real things I need to worry about everything else i see or hear I ignore because these its not real or a threat. With the animals noises if it really bothers me I'll ask if anyone heard that, set up a few small animal traps and leave it at that. With the the electric sound if I can't stand it I'll have everyone unplug everything one by one until I find it and that just doesn't get plugged back in that night. With "fighting sounds" and "break in sounds" I ignore best I can.

I have the word " Breathe" tattooed to my wrist so when I'm scared I can ground myself and make sure I get through it. The tattoo and my dog are my "reality checks".