Something maybe I can add. LePew brings up a lot of valid points. Very logical and straight forward. I found myself agreeing with his post. Then my little devil in my brain starts dissecting things. Wouldn't it be nice if there's only one answer? Many times there isn't. It depends on you're perspective. Lepew mentioned he reached the point of functional incontinence, realized it and backed away. Well done Lepew! But suppose we start with an individual that isn't so clear and logical in their thinking?
I was diagnosed bipolar years ago and categorically agree with the OP. As well as LePew. I've been condemned with an unusual (therefor wrong) thought process. To me, are all Gods of our reality. The single, only TRUE viewpoint for each of US is what WE think. This is what we experience. ....."I" think, therefore "I" am.... But only for ourselves. Unfortunately, these personal universes merge, collide, pass harmlessly, etc with the 7.5 billion other realities around us.
I experienced the same internal dialogue as the OP describes. I'm old enough that I have prostate issues and struggle with dry pants. I can stay dry. But the toll of fighting my AB tendencies along with physical bodily demands created a very conflicting reality.
How strong are you? How long do you fight this internal battle? What are the consequences of fighting this internal battle on our "soul"? Eventually we come to a consensus in or mind/ reality. It's valid for us. It has become reality. From the outside in another person's mind, the said person is wrong. Even very wrong.
In the "tribe" we call society, this individual is effectively "voted out". Possibly good for the "tribe", but catastrophic for our OP. We rarely question the convictions of "The Tribe". But it can be, and indeed is as flawed as the convicted individual. Just as our own personal universes are.
So, who is right? Our OP or LePew? Actually, both are right. Both are also wrong. We personally are judge, jury and executioner. When you are a God of your universe you carry a heavy burden. The responsibility is literally life and death to who we are. We need to be very careful when we pass judgement on each other's universe. Some of us reign over a very fragile reality.
Maybe this is the point where the "The Tribe" vaguely senses the One GOD. The basis of all religions. Terribly distorted by tribal beliefs. The TRUE reality, if there is one, might be that elusive thing we call LOVE. .....love IS the answer...... We badly need to recognize we are ALL wounded and all need help.
When I was a little boy, I prayed to God every night. God? Why am I here?...... I received only silence, always silence. Nothing..... Then one night I prayed like every other night, God, why am I here? Again? Silence... I laid in my bed pondering the silence when suddenly, frighteningly, a voice from nowhere, deep, wise and yet kind spoke. "You are here to bear witness"..... nothing more, nothing less. I hear that voice yet today. We all bear witness. Are we the eyes of God? If we are, what is God seeing? In my personal universe I want God to see my struggles, joys, questions and come to the conclusion as humankind evolves it finally concludes that Love is the answer. ....and it was good...