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Well, that's a tough one. I don't think there is too much you can do other than to try to persuade him to be open to help.
I just left a job working as a case manager for youths with issues. These were kids under 18 (I am thinking of one 16 and one 17 old boy I had on my caseload - both with BP issues and neither wanted help) and there was no way to force them into therapy or take medication.
I just read your other thread. Yeah, I suppose you could tell him he has to leave if he's not willing to get help. Like others said, you will have to be prepared to follow through on it.
Having been Dx'd with BP disorder myself, I dunno...
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