Hello Luciferaugustus: Unfortunately, I don't know as I have much of anything to offer in the way of advice here. I'm not knowledgeable with regard to the various med's you mention in your post.

If your wife were amenable, I would think the thing to do would be to get a second opinion either by visiting another psychiatrist privately or by having your wife hospitalized for a period of time. However, from what you wrote, I have the impression your wife is pretty-much in denial & even potentially aggressive in the sense she would be willing to take steps to in some way have you hospitalized.

From what you wrote, it sounds to me as though this doctor is at best disinterested if not downright negligent. On the other hand, it sounds as though your wife is also pretty good at getting what she wants. So it's difficult to say what's actually going on here. As far as the idea of reporting this pdoc is concerned, I wonder if there is a mental health organization in your state you could contact (anonymously) in order to discuss the situation & gain some additional perspective & insight. If it were me, I think the first thing I'd do is to try making some calls to a few different mental health related organizations, & possibly even state agencies, to try to clarify in my own mind what the best course of action might be.

Beyond that I will simply say, from my perspective, we each ultimately must take responsibility for ourselves. You cannot force your wife to get the help she needs if she is determined to remain ill & actively fighting you. In the end, the only thing you can do, the one thing you must do, is to take care of yourself... whatever that means in practical terms. No good will ensue from you being dragged down along with your wife. If you don't know, or can't make a decision, with regard to what you need to do this is where individual therapy for yourself comes in. I wish you well...