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He's going to need to be on his meds daily, not sporatically, or he is going to get worse. He's also going to need to address his substance abuse issues because meds and drugs/alcohol do not mix.
Would he be amenable to a 12 step program or even a detox? They'd give him his bipolar meds in a detox.
My s/o is bipolar and did use crack with me. She's off the drugs, as am I, and she's taking her meds. It took a bit of work for me to get her to do this regularly, but she is a success story.
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The duke had a mind that ticked like a clock and, like a clock, it regularly went cuckoo.
---------Terry Pratchett
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