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Oh Pinky, I feel for you! You have struggled so long over the years as a close-connected bewildered witness, first as child/daughter carer,gradually recognising and having to grow 'yourself' up beside and in the shadow of your mother's illness and suffering over those years. It would be hard enough in parts of the world such as here ,UK, where medical help is more easily available, because the patient with episodic ongoing psychosis usually believes they are 'special' not ill.....so to convince of the need for help is as you say...so difficult/ impossible?? This is where I speak from as I struggle/puzzle to help our 28 year old son with his journey (with schizophrenia  I am sadly really certain now in recent days) Medication and other strategies could help I am sure  if he could see a need... Bizarrely, if his behaviour became more extreme initial treatment might begin quickly by the authorities stepping in , but I would not wish for that 'crisis' to happen although I know things might move towards that...itself a frightening thought.   Sorry not to be able to give practical suggestions but share your feelings of helplessness for our family loved ones. Don't feel alone. Chris