Reply to What's a good/healthy/tear-free way for Ex-H to end each visit with DS instead of just sneaking off?

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Reply to "What's a good/healthy/tear-free way for Ex-H to end each visit with DS instead of just sneaking off?"

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[quote=Anonymous][quote=Anonymous][quote=Anonymous]

23:34 here. How did you know I hadn't told anyone? I asked my husband to leave a month ago [b](SA and a possible personality disorder and perhaps even a bipolar issue)[/b], but have been struggling alone with this for years. Since then I've confided in a few close friends and my family. I'm also going to see two therapists, one of which specializes in DH's issues. The other one specializes in divorce and separation. And I go to my first COSA meeting next week.

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I am troubled by the mixture of diagnoses -- "SA, personality disorder and "perhaps even" bipolar."  It's been my experience that SA is often misdiagnosed when the real root problem is bipolar.  Also, it is a well-known problem in the psych field that "personality disorder" is often diagnosed at times when the diagnosis of bipolar would be more appropriate.  (Even recently, the main screening bipolar, the MDQ - mood disorder questionnaire -- was found to inappropriately diagnose borderline personality disorder when bipolar would be a more accurate diagnosis.  In addition, in the last 5 -10 years or so there has been some discussion in the field between very well-known bipolar specialists about whether borderline personality disorder (or other personality disorders) are labels applied by medical professionals to person they view as irremediable, in order to view the lack of response by the patient to treatment as a failure of the patient instead of the medical professional.

All of the above is a long way of saying, if you think there is any possibility at all that bipolar is the issue your soon to be ex should be seen by a psychiatrist with extensive experience with bipolar.  Has he seen a psychiatrist (MD)?  Has he tried any meds like lithium or depakote or an any anti-psychotic (seroquel is a common one but not the only here)?

If you are relying on SA professionals (non-medical counselors w/ MSWs,  PhDs or other non-MD degrees) to deal with the issue, and he has not seen an MD psychiatrist specializing in bipolar, then you are missing a critical part of getting an accurate diagnosis and effective treatment!

Many people think that if the person isn't psychotic or delusional (i.e. out of touch with reality) then it is not bipolar, but this is wrong.[/quote]

No, no psychiatrist yet. I can barely get him to the CSAT. But thank you. I'm convinced he's bipolar. Will do my best to get him to a MD as I try to detach at the same time.  :cry: [/quote]

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