The help is for my sister, age 53. I read about all the symptoms yesterday and just about everything fits her psyche, she has been this way somewhat since age 13 and much more so in the last couple years. She doesn't like counseling - probably will insist nothing is wrong with her, can't keep friends, belittles family members, had two daughters hurt themselves for attention several times, including one suicide attempt two months ago.
Just saw her last week, only 4 days long enough to spend with her. She could be sweet, kind, loving, helpful and then completely do an an about face and have all the manic symptoms. The only thing though-she doesn't seem to get depressed - as far we know. We all live out of state right now but will probably live near each other before next summer.
The main thing is trying to get her into seeking help, getting tested and what is the best, loving, approach?