I just spoke with him
I told him that I'm working on accepting that he has a disease but what I don't accept is that he chooses not to recover.
I vented to him about how sick I am of him not doing enough. I told him that I have no problem taking care of the kids and the house during the day if he would only work.
I'm bipolar, and whenever I am angry with him he accuses me of having an episode. I pre-empted him and said that if he thought this conversation is because of my disorder, then he can F-Off.
I said a few other things, and he had NOTHING to say.
Right now he is actually doing some work. This is what usually happens after I complain, and it only lasts a day or two.