Asking for and embracing help is the first step to recovery.
This can be difficult for someone who is experiencing bipolar disorder and/or paranoid schizophrenia. For example, a person who is thoroughly enjoying a manic high might think that life is wonderful, fresh, and exciting! She likely has a lot of energy during this phase and might get a lot accomplished at work or school. However, there is a downside to the manic phase: spending sprees, dangerous activities, and hypersexuality are common. The manic person might not be able to admit that these behaviors are risky or she might rationalize that they aren’t, because “look at all the things I am getting done!”
Likewise, a person in the depressive phase of bipolar disorder might recognize his depressive symptoms but might rationalize that “life is supposed to be this way” or that “no one can help many anyway so why try?”
Then, there is the person with paranoid delusions. These are common with folks who have schizophrenia and these thoughts and beliefs are often more real to the people suffering them than a healthy person’s belief that the sun will rise tomorrow. Getting someone with paranoia to seek help is very difficult, but I attempt to address that issue in my blog series entitled Getting Help for a Loved One: Schizophrenia. The road to someone with this condition is often a long and arduous one.