Emotional Disturbances: Seeking Help for Mental Health Issues - Psychiatry

Bipolar disorder? Delusions? Possession by evil spirits?

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Dear Doctor,
Thank you very much for taking the time to read this lengthy letter amidst your busy schedule.
I am at a loss as to what to do.
My girlfriend of six years, who is now 24 years old, has always been a considerate, gentle, and cheerful person.
Although she is somewhat introverted, we have always communicated openly.
Her social circle is very simple, consisting mainly of me, her family, and her five cousins, with little interaction with classmates or friends from different periods.
Two years ago, after graduating from a vocational school, she started working at a large air freight company that operates across Taiwan, China, and Hong Kong.
During her first year, she was responsible for basic switchboard duties, and her dedication made everyone proud and reassured.
Eight months ago, the company decided to transfer her from the switchboard to the administrative department to handle unexpected incidents, such as drafting statements for lost goods compensation.
She felt a lot of pressure because she believed her writing skills were not very fluent.
At that time, she would bring up her problems, and as her boyfriend, I felt it was my duty to help her establish a work routine.
I have a stronger personality, and she was happy to accept everything I did for her.
When it came to discussing marriage, it seemed like a natural progression.
However, two months ago, she became unusually talkative, expressing her thoughts on everything (often negative ones).
She started viewing things as complicated and dark, believing that everyone, including me, had overly simplistic thoughts.
Although we would laugh and talk, the content of our conversations became disjointed, making it difficult to grasp the main topic.
She even seemed to be engaging in hysterical monologues, with her comments often coming off as overly sensitive, leading to many arguments and unpleasant moments.
For instance, when we went to an ATM and she saw a stranger wearing work gloves, she assumed he had ulterior motives.
She constantly felt like someone was watching her and talking behind her back.
I found it strange how her mindset had changed so drastically.
Despite the unpleasantness, I knew she was under a lot of work pressure before the Lunar New Year, and I hoped things would improve afterward.
Sometimes we would reconcile, and when we went out, she would express a desire to buy this or that.
I tried to indulge her in hopes of making her happy, but despite spending a lot of money, I felt she was neither happy nor grateful, and I was unhappy as well.
Unexpectedly, last month, her condition worsened.
She constantly complained about lack of sleep and became reluctant to talk, losing about 3 kilograms.
I wanted to check on her and ask if there were any issues at work, but she found my concern annoying.
After speaking with her family, I discovered she was the same at home; she rejected any inquiries and even responded with harsh words.
She started going to bed late at night, whereas she used to be the first to arrive at work.
Now, she often arrives late due to oversleeping.
After communicating with her supervisors and colleagues, I learned that she was at an all-time low at work, both socially and professionally.
Since early January, she had not handled any of her responsibilities, and her work was filled with errors, causing chaos in her department.
She would yell at her colleagues and was dismissive even towards her superiors.
Her behavior led to a perception that she had violent tendencies.
At the end of last month, she was suspended from work.
That night, she went on a rampage, cursing at her family, relatives, me, and everyone she knew.
Her eyes were devoid of any warmth, and her destructive words hurt everyone who cared about her.
Since her family had never encountered such a situation, they turned to supernatural explanations and sought spiritual comfort, feeling that it would hurt their pride to seek professional help.
Now, her family is also suffering; they can't sleep well and are unable to settle down.
She has become extremely arrogant, feeling superior to her brothers and even perceiving me as a male chauvinist, telling me, "Don't think you're great just because you have money." During the day, she visits clients with a cousin who works in insurance (I haven't inquired about their interactions).
When I tried to talk to her, she told me not to bother her, threatening to hit me and throwing things at me (though she didn't actually hit me).
When I asked her several questions, I was met with a barrage of insults.
I initially believed she was my one true love, but now my spirits are at an all-time low, and work is the last thing on my mind.
I have decided to seek help from a psychiatrist today, and I have a few questions for you:
1.
Is this type of emotional disturbance caused by short-term specific factors?
2.
How long does it typically take to treat emotional disturbances?
3.
I have observed that her family does not seem to have similar cases.
If this is genetic, does it mean that there is a chance of recurrence after treatment?
4.
There is a prevalent negative perception of the quality and dedication of mental health care, with many believing that professionals merely listen to patients and prescribe medication without genuine engagement.
Are there more professional counseling avenues available in the country?
I am not a professional, so I am unsure if my questions are appropriate.
I sincerely apologize if my fourth question seems offensive.
If I didn't trust this channel, I wouldn't be sending out this plea for help.
I hope you can believe in and accept my sincerity.
Wishing you all the best—thank you!

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Phillips, 30~39 year old female. Ask Date: 2004/03/05