[pal5510]

My husband was dx'd bipolar I several years ago. He's been mostly stable since 2011 with cycles of hypomania and depression. It's believed he likely has CTE as well based on brain imaging, neuropsych testing, his previous career and 2 auto accidents with mild TBI.

He is manic, rapid cycling, currently and hopefully will be stabilized soon. I'm confused by the symptoms and would like some feedback. Our bank account took a beating until I discovered the spending on gambling. One issue I don't remember from prior manic episodes is his ability to be completely in control around people other than me. Aside from that, he isn't raging or hyper like he's been in the past, he just doesn't care how much money has been spent or how it's affecting me or us. More like a laser focus to gamble without remorse. He's got it in his head that he probably doesn't have long to live so I'm pretty sure he feels he wants to spend it all doing what he wants. He's very concerned that his children don't find out how much money he's spent however and he acts completely normal which is different from past episodes. Usually at some point, his symptoms become apparent.

His neuropsych doctor thinks there's an element of the dementia in this current behavior. I'd appreciate any input.

[Molinit]

If he has CTE, it's likely his bipolar will become more unstable.

I think you need to sit back and take an objective look at whether he's truly able to conduct his own affairs financially and you may find the answer is "no". It's not a stretch to say that you'll probably have to limit his access to money for your own peace of mind.

CTE and dementia will also cause someone to focus on unhealthy activities like gambling to the point of ruin.

You need to see an attorney about things like power of attorney, wills, etc. and I would agree that his life is probably going to be a lot shorter than the average person his age.

A geriatric psychiatrist is worth his or her weight in gold when it comes to dementia and behaviors along with mental illness.