There have been occasions when my T and Pdoc were more concerned about me than I was, and at times they were spot on about it. There was a time that my own insight into my level of functioning, my own insight about my condition was not very clear. With bipolar disorder, it isn't uncommon for a person to be heading into an episode -- depressive or manic -- and not realize they are really headed that way. That's one of the reasons having that objective observer/supporter to help monitor those kinds of changes is important. My T and Pdoc got to the point where they could sort of see the writing on the wall that I was headed toward a dangerous place, often much more clearly and much sooner than I could see it (or admit it). I think similar problems with insight come up with people dealing with thought disorders such as schizophrenia, etc. and having someone (even a friend or coworker who can stay pretty objective about things) is rather imperative for those of us who have truly experienced losing touch with reality at times.