Big empathy to you Serhodes! I am personally not Bi-Polar but I used to work for an artist who was! And she was not good about taking her meds. She had an episode one time, became delusional, totally lost all rationale, and had to go to the hospital. She was talking to the pictures on the wall and throwing things at me. When I saw her again she acted like nothing had even occurred. So as far as I can tell... I think over time she knew it was not not real. To what degree I cannot be sure. But she acted like it didn't even happen and she greeted me with kindness. So I would imagine there is no grudge and that it dissolves within time.
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