Hello friend,
I also struggle with all of the above. I rapid cycle frequently when unmedicated, meaning I'm manic one minute then suicidally depresses the next. This can happen for a couple of weeks to a few days to a few hours. The most important life changing thing I've done is to get a good provider and to find the right medication combination. It's absolutely changed my world. I'm regularly medicated, I'm religious about taking them. Vraylar and lemictal have been my magic combination. At the first signs of mania I take a three day dose of clonasopam (a benzo) to slow it down and it works a treat. It took about six months for my doctor and I to find what works so I would say get a good doc (this is so important as not all providers are good at what they do, my previous was less than helpful) and try and try and try until you find what works for you.
I also come from a community who do no take mental health seriously so I understand. My family behave as though it doesn't exist even though I've struggled with it from as young as my early teens and I'm forty two now. It's possible you may never get the acknowledgement from family, but that's okay, you know what you need to do for you.
I'm also fairly antisocial. I have a small group of people I seek support in more like affirmations. I say hey, I'm having a hard time, can you send me some good vibes because I could really use them. Then I get some supportive statement and I feel better. They don't have to understand, they don' t even have to know what I'm dealing with, just a little kindness helps.
If you are a creator, and many of us are, I'm a writer for instance, dig into your work. If you're manic and you haven't got a full hold on it, dig harder. It helps to channel your energy into something positive. If you are depressed take it hour by hour my friend. Sometimes that's just the way it is, you decide to survive and you know, absolutely know as this is your condition, that it will pass. I've attempted suicide twice so I understand the appeal of what I call self-mercy. The trouble is, you don't know what your life could become. Some beautiful thing could be right around the corner and you never would have known. Hold onto that idea. There is good to be had, this is manageable. Best wishes to you, you aren't alone in your struggle, always remember there are others just like you, myself included.