Reply to 30 year old DH blowing up his life

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[quote=Anonymous][quote=Anonymous]Sounds like the SSRI’s have triggered mania.  This is not uncommon.  A major personality change like this required medical intervention.  Call his prescribing doctor ASAP.[/quote]

+1.  Happened to my now exDH.  Anti depressants can trigger mania or hypomania in some patients.  You definitely need to report to his psychiatrist, the problem is that sometimes a psychiatrist will not accept input from family members because it "violates patient privacy".  This is not true, and it is a sign that your DH has a not great psychiatrist if they can't figure out how to hear your input.

I have found the the best way to provide input is to write a letter to the psychiatrist and send it by fax.  That way they don't have to acknowledge that the person is even their patient.  Yet, they see the info and it affects their thought process.  It is also a way of sending a subtle signal that the complaints are on the record now and that if there is no change in meds and subsequent trouble, there is some documentation about liability.

In your letter you want to be specific and factual -- no emotions at all.  List things that are happening in the home environment and work environment.  Use words like "increasingly agitated and irritable" "change in sleep patterns"  "up much later at night" "watching movies at work instead of working"  "increasingly engaging in pleasure seeking activities" "increased drinking" "increased risk taking (the motorcycle)"  "increased paranoia (thinking I am mean and controlling)"

All of these phrases are classic mania symptoms.  This is much more specific than "personality issues".  A doctor who receives these symptom changes in writing is taking on liability if he does nothing to address. [/quote]

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