Even if it does, they are still capable of making rational decisions if needed. They don’t have to kill themselves. They can take another option. They can go to someone and say “I want to kill myself” and get help.
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Psychosis is the definition of not-rational.
Bipolars become at best people with poor judgment and at worst psychotic with auditory and visual hallucinations.
BiPolar is usually ups and downs, hence the name Bipolar. Voices and hallucinations are usually associated with other mental issues. They tend to go hand in hand though.
Every Bipolar person I know loves the highs and spends the lows trying to get back on the highs. They also LOVE conspiracies. They either have a sure-fire get-rich plan that can’t fail or everyone is holding them back.
We have a few local politicians in town that are Bipolar and they have been a jaw-dropping mess to watch.