I realize that sometimes it does take others to "clue me in" to my mood elevations, but I think that when I've been clued in, if I contact my psychiatrist it means I have some level insight, if only a little. If I truly utterly didn't, I'd basically tell others "F you", and that would be that. There's certainly only good in trusting others. Sometimes others are overreacting, and sometimes not. In any case, you get credit, in my eyes, for contacting your doctor and therapist. I see that as some level of insight. Telling you that is only a compliment, not a form of insult, and not a form of telling you you don't get sick. Developing some level of insight is a path to better managing the illness. Not managing the illness well at all brings only pain.