Bianca Censori recognized that Kanye West’s medication had sent him into a “deep depressive episode” after a “rock bottom” manic episode.

The rapper-turned-fashion designer — who issued an apology for his recent behavior via the Wall Street Journal over the weekend — delved into how he decided to seek treatment in a new interview.

“Toward the end of my four-month-long manic episode, my medication was changed. In that shift, the antipsychotic drug took me into a really deep depressive episode,” he told Vanity Fair.

“My wife recognized that, and we sought out what’s been effective and stabilizing course correction in my regime from a rehab facility in Switzerland,” he added, referencing Censori, whom he married in December 2022.

Kanye West detailed how his wife, Bianca Censori, helped him out of his “rock bottom.” WWD via Getty Images

He detailed that she recognized the meds he had recently started taking were to blame. Media-Mode / SplashNews.com

“You must understand bipolar is a disease. It’s one of the most lethal nonterminal illnesses.”

During his chat with the outlet, which was published Tuesday, West also shut down the idea that his apology was a PR stunt to promote new music and keep his business afloat.

After claiming that he is one of the top 10 most listened-to artists in the US in 2025 and that his upcoming album “Bully” is one of the most anticipated albums of the year, he said his apology is not “about reviving [his] commerciality.”

“This is because these remorseful feelings were so heavy on my heart and weighing on my spirit,” he explained. “I owe a huge apology once again for everything that I said that hurt the Jewish and Black communities in particular. All of it went too far. I look at wreckage of my episode and realize that this isn’t who I am.”

“My wife recognized that, and we sought out what’s been effective and stabilizing course correction in my regime from a rehab facility in Switzerland,” he told Vanity Fair. angelinacensori/Instagram

He also shut down the notion that his apology was a PR stunt. GC Images

He went on to acknowledge his influence as a “public figure” and explained it’s important people “realize and understand what side of history [he wants] to stand on.”

“And that is one of love and positivity,” he noted.

West further confessed that his punishment is recalling everything he’s said “while in a bipolar episode
and reflecting on the “family bonds, deep relationships, and lifelong friendships” he “tarnished by all of the horrible statements that [he] made so impulsively.”

Over the weekend, the “Heartless” singer issued an apology to Black and Jewish communities in a full-page WSJ ad after years of spewing racist and antisemitic beliefs.

On Sunday, West released a page-long apology for his antisemitic statements in the Wall Street Journal. Getty Images

He claimed that a car accident 25 years ago caused damage to his brain, which then turned intohim developing bipolar disorder. Getty Images For Kenzo

In his statement, he claimed a car accident 25 years ago caused damage to the right frontal lobe of his brain, which then turned into him developing bipolar disorder.

“Comprehensive scans were not done, neurological exams were limited, and the possibility of a frontal-lobe injury was never raised,” West wrote in a full-page Wall Street Journal ad. “That medical oversight caused serious damage to my mental health and led to my bipolar type-1 diagnosis.”

He then pointed out that the “scariest thing about this disorder is how persuasive it is when it tells you: You don’t need help. It makes you blind, but convinced you have insight. You feel powerful, certain, unstoppable.”

The Yeezy designer — who shares four children with ex Kim Kardashian — then apologized for his bad behavior over the last few years, claiming he “lost touch with reality.”

West took accountability for his actions in the last couple of years.

He also addressed losing touch with reality and his use of the swastika. Getty Images

“Things got worse the longer I ignored the problem. I said and did things I deeply regret. Some of the people I love the most, I treated the worst,” he wrote.

“You endured fear, confusion, humiliation, and the exhaustion of trying to have someone who was, at times, unrecognizable. Looking back, I became detached from my true self.”

He also addressed his fascination with “the most destructive symbol [he could find], the swastika,” claiming that his illness prompted him to have “poor judgment and reckless behavior that oftentimes feels like an out-of-body experience.”

“I regret and am deeply mortified by my actions in that state, and am committed to accountability, treatment, and meaningful change,” he penned.

West then declared that he was “not a Nazi or an antisemite.”

“I regret and am deeply mortified by my actions in that state, and am committed to accountability, treatment, and meaningful change,” he wrote. WWD via Getty Images

He also declared that he was “not a Nazi or an antisemite.” Ye/Instagram

Over the years, West has made several controversial statements and lost several of his famous friends — including Jay-Z, Justin Bieber and Kid Cudi.

In October 2022, he shockingly tweeted that he was going to go “death con 3” on Jewish people. The remark caused several companies to cut ties with him, including Adidas.

West has also worn a black Ku Klux Klan hood, promoted swastika T-shirts in a 2025 Super Bowl ad and released a song titled “Heil Hitler.”