Our expert says:
Bipolar Disorder is NOT characterized by self-cutting, which nis associated with personality problems, and needs psychotherapy and not merely drugs. As to why she has got worse while in hospital, you REALLY need to discuss that with the doctors treating her now --- only they should know. I wonder whether she has met other people who cut and mutilate themselves, in the hospital, as one can see an annoying form of competition develop between people in this sort of situation.
Such self-damage is usually associated with dissociation or "spacing-out" and is not painful at the time, so she may be less aware of it that you would expect. But she CAN control it and her doctors ought to be working ahrd to ensure that she takes contro over it and stops it.
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