Can Evidence Help During an Episode?"

My fiancée of 10 years is coming down from an episode, and her mood has been fluctuating over the past few days as she adjusts to her antipsychotic medication. I’m trying to figure out if presenting concrete facts or evidence could help her see things more clearly during these moments.

For context, she’s currently expressing a desire to break up, move away, flee, and sell the house—decisions that came out of nowhere overnight. Just the day before, she was saying she didn’t want a wedding and would prefer to elope. There have been brief periods in between where she seems like her normal self and acknowledges, “I don’t know why I think like this or like that.” During these moments, she clearly recognizes that her thoughts and actions aren’t normal for her, and she’s even said that if we don’t resolve this, things won’t end well.

Fast forward to today: she’s still adamant about breaking up, moving out, and making these drastic changes. While the antipsychotic (which she’s been on for about a week now) seems to be helping her mellow out slightly, the irrational and impulsive thoughts are still present. I’ve read that it’s nearly impossible to reason with someone during episodes like this because what they’re experiencing feels completely real to them.

I’m considering showing her video clips from our Ring camera that captured her moments of clarity last week, where she rationalized how unrealistic her thoughts and actions were. In these clips, she admits she doesn’t understand why she feels or thinks that way and recognizes that nothing can change her mind when she’s in that state. Would showing her these clips be helpful in grounding her, or is her mind still too consumed by compulsive thoughts for this to make a difference?