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Bipolar is not usually subject to this paranoia although it can. Bipolar is a combination of mania and depression. Mania is characterized by compulsive activity and poor sleep. Depression of course is the down side or lows. The cycling can be very quickly or very slow. It can be found within families. Her paranoia is going to make treatment very difficult. You cannot have her treated against her will unless she is a danger to herself or others. Otherwise you have to convince her that treatment would help her. Offer to go with her. Try to approach her when she is depressed because she will be more receptive. People are more receptive the more depressed they are. You can't force her so you have to be patient and find the right time. If there is someone she trusts that can talk to her about her mood aside from you they may be able to sway her. Whether that is a church person or her best friend. Try to get her to commit to a few sessions to see if she can engage in the process.
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My question is Do you think I am depressed, lazy, or