If someone has repeatedly shown violent tendencies, then I think some level of forced care is generally agreed on. But what if they have only muttered threats? And what distinguishes their threats from the kind of vague "I'm going to get you" that gets muttered often enough? What about things like hoarding disorder? Should they be forced into treatment? Although they might be endangering their own health, people make choices that are bad for their health all the time. Beyond that, they aren't necessarily posing a danger to anyone. Yet their condition causes, at a minimum, unsafe living conditions and destruction of property. The author mentions bipolar, but I think this is even difficult. Even in a state of mania, I think most bipolar people are still capable of making rational decisions. Do we remove their autonomy simply because we might disagree with their decisions and they have a diagnosis? But if their disease is causing problems making rational decisions, maybe someone stepping in would be appropriate? It is definitely a very tricky issue.