My family has no idea when I get really psychosis. Only when they sit down and really, really talk to me. I can trick most therapists. I've been hospitalized 2x without my family knowing and we're close.

I thought my husband's family was trying to kill me by doing the dishes "wrong", and taking a stray to the pound. To me that was proof. I cried and cried so hard. My husband didn't understand why I was so attached. So I told him why him putting the dog their meant they killed another dog and how that meant I had to divorce him.

When I went on a trip with my parents. I got really emotional any time I talked to my husband. Everyone just thought I missed him. When in reality I thought my parents and him were conspiring to take away my child and leave me stranded in an airport.

It's really hard for me to tease out the odd thoughts and normal thoughts. I have had some level of psychosis most of the time. I've gotten really good at hiding it and reality checking. A good therapist can really help. Hell, over the past maybe year I learned not everyone feels like they're always in a crowded room.

As far as the bipolar aspect. It sounds like she's had BP for a really long time. What I would suggest is for them both to get individual therapists (separate ones) as well as a family therapist that all work together. They'll have to all sign releases. So there's 3 therapists and 1 psychiatrist all sharing notes. Hopefully ones a week sessions.

For you don't worry as much. With good therapy and maybe some medication thing can get better for her. I'm not saying she'll be 100%. I fully believe in kindling (every episode leads to worsening BP)