Respiro (2002)

Grazia is a free-spirited mother-of-three married to shy fisherman Pietro and living on the idyllic but isolated island of Lampedusa in the Mediterranean Sea. She shows signs of manic depressive behavior — one moment she's laughing wildly and swimming half-naked in the sea, while the next she's curled in a ball on her bed. Out of her earshot, the adult members of her extended family vaguely discuss sending her to a facility of some sort in Northern Italy.