Hello, I am Rafael. Thanks for asking your question - I'm here to support you. (Information posted here is not private or confidential but public).
I am very sorry to know about this frustrating and concerning situation your daughter and family have been facing.
Your story does show she has been struggling with mood problems for years, and apparently mostly treated for PMS and never for the mental health - behavioral issues, that seem have impacted her personal and family life in drastic ways.
Please take her to her primary care physician and request referral to a clinical psychologist who could implement a complete psychological evaluation. Primary care physicians should immediately refer patients presenting mental health , mood or behavioral problems for mental assessment, in order for people to get necessary support right away and to prevent further worsening of symptoms and consequences in their lives.
Unhappily most times, when physicians do choose to make referrals, they exclusively think about psychiatrists and not about essential psychological support. In case of bipolar disorder, it is known that most times people would need medication in order to eliminate or control manic episodes or risky behavior where the person could hurt herself or others, getting into serious crisis leading to hospitalization or legal problems; these are serious issues that I believe do justify psychiatric medication, but if this does not happen to be the case, then the person could work on her rehabilitation process with adequate psychological support, which should be present either way, when using or not psychiatric medication.
Please, look for referrals for her to be evaluated by clinical psychologist and by a psychiatrist, each would determine their findings after assessments and based on them offer an initial treatment plan too support her rehabilitation process. This could be found through referrals by her primary care physician, or by directly looking for these professionals at local hospitals, mental health clinics or through private practices checking your phone book, under psychiatrists and psychologists.
I am here to clarify any doubt you may have, I hope this make sense. I'd be waiting fr your reply. Thanks.
Hi, Rafael. Thank you. I will take her to our general practitioner ASAP.