He may be having what they call a mixed episode, which usually includes irritablity. That could be the cause of his outbursts but only a doctor could correctly diagnose something like that. And if he doesn't agree to medication there is not a lot you can do about it. However, there are many people that manage bipolar without meds they have to really work at it and know what their triggers are.
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Bipolar I, Depression, GAD Meds: Zoloft, Zyprexa, Ritalin
"Each morning we are born again. What we do today is what matters most." -Buddha
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