Our expert says:
Tpp complex a question to answer in the abstract. If someone is severely manic or depressed, and doesn't know what's wrong, they might possibly be held less accountable for some of their actions. If they have been diagnosed and are on effective treatment, and choose to stop the treatment, or to confound it by foolish use of drugs and/or alcohol, then they should be considered totally responsible for their actions. In a simpler version --- if someone puts alcohol or drugs into your drink without you knowing, it might not be your fault if you misbehave. But if you chose to get drunk, then whatever happens is your fault.
If your husband is stuipid enough to be drinking and taking drugs, his other diagnosis is irreolevant --- he is deliberately choosing to make any treatment useless, and to indulge himself as he pleases. And his sexual behaviour, like his drinking and drug-taking, is not caused by his disorder, but by the choices he makes. If in addition he cuts down his meds, probably so as to better enjoy the drinking and drugging, then he's a fool, and preventing himself from receiving effective treatment. Do you really need to stay with someone so destructive of himself and potentially others, including you ?
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