So sorry to hear about your stepdaughters condition. I have a son who was recently diagnosed with paranoia schizophrenia and it takes its toll on all close family members, so my advice to you is to not put your daughter out and to continue to seek help, call NAMI call Washington, I sat on the phone literally day after day because I was not getting any answers. We also did not have any insurance, so I called hospitals and found out that if you think the person is in danger you can take them to any emergency room and they have to evaluate the person. Then call phsyc in. I did it three consecutive times because the doctors would say patient privacy act. Until finally the third day without any sleep and all four of my other children took him back to the same hospital and said keep him or keep me, all five of us were in tears, so they finally kept him. They put him on a 72hr hold, and I visited him everyday and talked to him even though he was not responding, he heard me and thank god my son trusts me. He is doing ok, he also talks about not taking his meds, he also once in a while tries weed and believe it or not he does not like the feeling he gets from weed. I do not yell at him, or give ultimatimes, because he is not thinking clearly, I do give him choices and sit with him and see what is on his mind in a kind and positive manner. I know I wrote a lot but this is how I have to get by everyday because it is a challenge to convinve my son that today I will not love him any less than the day before. Keep on reaching for help it will come. God Bless you and your family