Idk whats being said here, or not being said here. If shes refusing a care plan, ok, but sounds like a lot of other stuff is going on here besides that environmentally that would contribute to someone not doing well.

RUN!!!!! do not walk away from her! She will not get help drop her.

@Alderoth ... Is it your wife -- or girlfriend -- that needs help?

Are you trolling us?

You've made this post about a wife that needs psychiatric help, and another post about a girlfriend that you live with who you think is taking advantage of you.

Which is it?

So, Daniel!

According to your profile you're on the prowl for:
"Women, Trans Men, and others".

Could this be a cause of your wife's destress?

My first wife is psychotic, my younger brother is schizophrenic and my sister is bi-polar, so I understand your pain. People with mental illness often gravitate to caring people who they know will support them and even enable them. This organization offers instructional courses that help you cope with living with people with mental illnesses. My wife and I took their course when my schizophrenic brother had a psychotic episode and threatened to kill us, I think you will find them helpful.
[nami.org]

Depends on the diagnosis. My ex was diagnosed as ,'borderline personality disorder', wouldn't take meds, my therapist said she will not get better without meds.

Most states have a provision for emergency hospitalization if someone is an imminent danger to themselves or others. The police can be called in and put the person into a hospital for 72 hours, after which the court determines whether to increase the length of the hospitalization or to release the person. It sounds like this may be necessary in your case.
For her sake, what does she need to be safe? Once that's determined, what do you guys need to keep the marriage together -- or do you even want to go there?

Cannot help but notice you list yourself available to meet women, and transgender. Maybe your Wife has a problem with that?

How about you talk to her about how stressed you are and make treatment/counseling/meds part of the conditions for you to stay?

Curious you even made a poll. Like how can any of us decide the fate of your marriage knowing nothing but you saying your wife needs help. Why was there not an option" should you try to get her the help she needs"? If you truly loved her I would think you would be using Google for this one sir if in fact you really want to save the marriage. No disrespect but if i was your wife and saw this, I would leave your ass and save you this very difficult compassionate decision. I mean wouldn't you if you saw your wife post this?

It depends. You signed up for dating on this website but you're married. Perhaps you are falsely accusing her and are the one who needs help.

If you are serious and there really is something wrong, there are natural remedies, such as CBD oil, magic mushrooms, ayahuasca, etc. that can reset the bipolar mind.