Our expert says:
With ANY psychiatric conditon, ansd indeed medical conditions, there are internationally agreed criteria which a properly trained shrink can use in assessing someone and making a proper diagnosis. The point of such criteria is that we make diagnoses in a generally reliable way, which will correlate well with the available treatments and their effects.
No all mood swings are Bipolar. What you seem to be describing isn't really mood swings so much as irritability and poor anger control, possibly based in a personality disorder.
The only way to be sure what's wrong and what the diagnosis is, is for him to see a shrink for a proper assessment, and then a discussion of treatment options. And it would be impossible for him to be helped unless he himself was sure he does have a problem and that it does need treatment, and unless he sincerely cooperated in treatment
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