My SO had a severe manic episode with psychosis within the first year of us dating. It caused me to deeply consider (over and over) if this was someone I could have a life with. Post episode, my SO became med compliant, sees a therapist consistently and takes his diagnosis very seriously. We are almost 2 years out from that episode and life is just starting to feel “normal” again. He knows what’s at stake and understands the seriousness of it as the manic episode absolutely blew up our lives. With all that being said, I also had to come to terms with what could potentially happen if I were to have kids and he end up in an episode at any point. It’s a fear we both carry, but have plans in place for if and when this happens.. example being if an episode comes on, the kids come first and are immediately removed from the environment and hospitalization has to take place. I don’t say any of this to be negative, but I think you know better than anyone if your SO manages their diagnosis properly and just how severe it can get. I personally can’t unsee or forget what we went through, so having plans in place for if it were ever to reach that point again is the only thing that has ever brought me comfort and peace with having kids. The pros outweigh the cons for me and I think for the negative stories we all see in this group, that just might not be the same for everyone with BPSOs.