Again, talking entirely selfishly about me (heh), my biggest fear at the moment is the return.
I've had three big breakdowns in the past; one in 1999, one in 2009, and one this year (though realistically, I feel I should have seen this coming last year when I'd gone through a couple of very bad spells which had sapped the strength from me.)
So on one level, I have hope in that I've been desperately ill before, and I've got better. In between times, I've been the fun, confident, capable person I used to be. I've enjoyed my life. It's therefore not beyond the realms of possibility that I'll get there again (though it's hard to believe this right now).
On another level, I have fear that it will never go away. It's come back three times, so I have reason to dread times four and five.
Each one of my breakdowns has been entirely different in how it's felt and what my symptoms were, which makes it hard to identify what's happening each time. I'm chasing it around, wondering, what next?
Even so, I consider myself lucky for a number of reasons. The first is that I first got ill (or was diagnosed) when I was very young. Just 21. My mum's a mental health nurse, and though she didn't spot it instantly, she did spot it. I went to the doctor and begged them to find something wrong with me that would explain my symptoms that didn't make me like my mum's patients, and the doctor then (I'll never forget her), calmly and kindly took pints of blood to look for everything on the condition that if they found nothing, I would consider the possibility of antidepressants. Obviously they didn't find something else with a miracle cure.
After that, I spent a lot of time reading around it, getting medication, and in therapy. I've got myself now to the go-to 'there's something wrong with my brain' for when things go wrong.
If you think of someone who hasn't had that advantage, and who's spent their early adult life fine, and believing mentally ill people are criminal or all hear voices or are weak-willed and so forth, and then they're hit by symptoms all at once, then they don't have the advantage of the go-to thought 'I want to die; that is a symptom of an illness that I have, I should get help with that...' then they can't see that their logic is twisted, or that they're detached or whatever you want to describe it. The important thing to remember is that when you're in the midst of it, the illogical, strange, twisted thoughts make perfect sense. Even now, with all the reading and so forth behind me, I can still come out with 'I literally could not choose which beans to buy. I was frozen in panic in case my beans killed my family; that's not right, is it?' I know it's a symptom today, when I'm stable. When I'm looking at the stack of baked beans, that feeling of panic is the only feeling in the world. I will make a mistake here, and people will die. That, in my brain, is the reality.