Our expert says:
Gosh, yesterday it seems everyone was suicidal, today everyone seems Bipolar ! It is absolutely impossible to successfully treat anyone with Bipolar Disorder ( or, indeed, most other disorders ) if they are drinking heavily, let alone if they are taking drugs which also affect the brain. And I wonder how much of his behaviour can be blamed on Bipolar Disorder, and how much the disorder is being used by him as an excuse.
And if he was being treated only with prozac, and not also a mood-stabilizer like Lithium or several others, then I wonder about the diagnosis.
The incident of getting a child to point a loaded gun at another child is very serious nindeed, wholly abusive and of course nothing like a joke. Child welfare might be able to advise on ways they could help, too, as the children must not be left in danger ( and can't the gun be taken away while he is asleep and placed in safe-keeping, perhaps at your local police-station ? )
He sounds seriosuly out of contol, and an active danger to the children, to himself, and perhaps to you. I'm amazed that Tarat could ignore all this and suggest an outpatient appointment. I wonder who gace you this advice --- was it a senior specialist there ? If not, maybe your next call should be to his specialist, and not a receptionist or nurse. Otherwise, he could be compulsorily admitted elsewhere, but you'd need medical involvement. Doe you or he have a local GP who could help ? is there another psychiatrist who has seen him ? Even the police might be able to help, as the gun episode with the children was probably a criminal offense, and they have powers to start the procedures towards compulsory admission, assessment and treatment
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