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When you are mad, mad like this, you don't know it. Reality is what you see. When what you see shifts, departing from anyone else's reality, it's still reality to you.

Marya Hornbacher
Depression, Reality, Mad
Marya Hornbacher (2009). “Madness: A Bipolar Life”, p.118, Houghton Mifflin Harcourt
When you are mad, mad like this, you don't know it. Reality is what you see. When what you see shifts, departing from anyone else's reality, it's still reality to you.