Let's just say M. was in a state of manic when she left. How long would such a state last before she begins to sway the other way? If she began taking things that her cohort was offering, would that delay or accelerate things? Without getting too deep, does any one have experience with this sort of thing? If she was previously on meds, has anyone contacted her doctor to ask general (not HIPPA invasive) questions on how to figure out what steps she might take next, then next, then next?
Hi, I've hesitated responding because bipolarism can affect people in so many ways, including how often they have episodes and how quickly they might cycle. I've had two loved ones who went through manic episodes as young adults that were the first major incidents that resulted in a diagnosis. It sounds like M. was diagnosed and had been prescribed medication, so perhaps 607 has more information on her condition.
A family member had a manic episode in his early twenties when he was newly engaged and his then-girlfriend, now wife, had moved to the US to live with him. He was working full-time, teaching part-time at a tech college, helping a friend set up a valet business, and driving a horse-drawn carriage for tourists on the weekends. He became increasingly paranoid about people following him, but his remarks would always be seemingly joking and we missed the signs. He ended up going on a spiritual journey, supposedly to Memphis, because he was being called as prophet to remake his life and inspire others. None of this made sense; he had never been to Memphis, he wasn't an Elvis fan; and he wasn't particularly religious. Long story short: we only heard from him when he would be arrested for trespassing (usually trying to free pastured cows) or being a street preacher, but he was always cheerful and polite, so police officers would typically end up taking him in to the local hospital to be seen by a doctor because they could sense that the situation was unusual. This was 15 years ago and no one was equipped to handle someone who was clearly acting 'off,' but who was also an adult who knew his identity, where he was, the year and who was president of the USA (those were the ER questions he would be asked).
I wish I could say this was resolved in 3 weeks. It began to be resolved in about 3 months when he was involuntarily committed. His stay was fortunately short and he began to recover, but it was at least a year until we felt like there was a new normal established. The initial adjustment to medication can be brutal (hopefully that's improved), so I can see why M. would stop taking it, especially if she was starting to go into a manic phase.
I'll provide some free advice that I wish I could have provided my younger self. You know your situation so much better than anyone else could, so (obviously), your mileage may vary. All of this is my humble opinion based on my own individual experience.
1) Buckle up, because this will take longer than anyone thinks it should. You can't keep up the level of activity you are currently doing. You're going to need to call in support systems, whether that's family, friends, church, the bingo hall -- whatever. My guess is that some others are also extremely stressed out even if they aren't carrying as much as you, and you are all going to pull together and share the load. She likely has friends who want to help, but don't know how. Tell them how.
2) There's a lot of hurt when a loved one cuts every bond and leaves without looking back. You've said a few times that this is out of character. Believe it. Think of this as a physical condition. Think of it as an illness that's better understood, like a pneumonia, brain pneumonia. My family member said he knew that his finance was safe where she was, so he didn't worry about her. Once he recovered and worked through his shame over what happened, he became a great boyfriend, husband and father.
3) Put together a journal of M.'s recent past and present. Leave everyone else out of it. Get as much of her med history pertaining to her bipolar diagnosis as you can, including her medications and dosages. Document her conversations with her friends about people being after her and being depressed. Are there texts? Get them. Were they conversations? Interview her friends to determine exactly what she said. Did she see the people who were after her? Were they following her? Were they bugging her phone? She may have reset and left it to prevent them from tracking her, and she may not be contacting you because they are monitoring all of your communications.
You may need to have a record in hand of her medical history, diagnosis and evidence of delusional thinking when she's found. She may be a danger to herself (if not others), but may also present well enough to be released without a psych evaluation. You're going to want to have everything organized so that you can explain the concerns over her mental health. If possible, consult with the doctor who diagnosed her. If that's not possible, find another resource through a local mental health crisis center if necessary so you have a better understanding of what's going on as well. When the officer said she would probably turn up when she tried to shoplift food, he may well be speaking from experience.
I'm sorry you're going through this. My best wishes for your daughter. I hope you'll be able to connect with her soon.