If he is at risk of harming himself or someone else (and it sounds like that's possible) it's his therapist's legal responsibility to take the next step. In this state (NY) that would mean having him admitted to a hospital by obtaining 2 psychiatrists signatures. I'm assuming he's over 18, I don't know how it works for kids.

In a decent psych hospital, he would be stablized on meds, get counseling on the importance of meds, and recieve on info on his diagnosis and learning how to track moods. BiPolar seems to be the hardest dx to accept, I guess because the manic phase starts out feeling so good. Also because of the age of folks when it hits. They don't much care to be told to take out the garbage, let alone being told they have a mental illness.

Yes, he will be mad at you. Better that then him ending up getting his psych treatment in jail or prison. I've seen those places, and no one wants their loved one there.

Regardless, it REALLY sounds like his meds may need tweaking. Does he believe that he needs them? Does he take them religiously?

Please take care of yourself. Emmy