@wildflowerchild25 No, it has never reached psychosis. It depends what you mean by 'strong suicidal'; I've had the desire to end it, I even made some plans. There were days when my mother would feel ill and then a part of me almost hoped she dies [I have a tendency to expect the worst when someone has some health problems] so that I can finally do it (I would not do such things with her alive because I don't want to upset her and mess up her life).
I don't really know my coping skills, it's not like there's an escape plan or a 'happy place' or anything. When it comes, I endure it quietly. It calms down eventually if I don't think about unpleasant things.

@BipolaRNurse As far as I'm concerned, it's also the meds' secondary effects. I'm somewhat afraid of those. Taking a pill everyday wouldn't be something new for me since I have a weak immune system and I often took vitamins and other meds for influenza & co.