I am writing to try to get some information on what might be happening to my partner who experiences significant mood swings/behavioral changes at times. He refuses to go to the doctor so I am wondering if someone here can help me.
First some information on his background and condition:
Caucasian Male 39 yrs old.
30 Lbs overweight
Diabetes Mellitus
Hypertension
Tachycardia
Former methamphetamine user (used for many years, but has been clean for 10+ yrs.)
Binge drinker (1 or 2 times a week)
Current medications:
Lisinopril (Blood Pressure)
Atenolol (Heart Rate)
Valium (for anxiety)
Insulin injections (Humulin R, N)
Basically, his behavior can go from 'normal' (calm, not agitated, clear-headed, etc.) to what I am calling "Altered" in a matter of minutes. During these episodes his behavior will deteriorate where he will gradually start acting like he is intoxicated, even though he has not been drinking. It will begin with slight mood changes and speech changes (such as mild slurring, searching for the correct word, etc.). General mood will be happy and sometimes giddy, unless he becomes agitated by something, which tends to happen very easily. If he becomes agitated or angry then his mood will further decline to belligerent or even violent behavior. He will say hurtful things intentionally and become verbally abusive. This negative mood shift does not always happen. In either case, it seems the only way for him to return to 'normal' is to sleep for 6+ hours.
It seems like mentally stressful situations may bring this on, although I have also seen it happen after heavy meals.
His Diabetes is not well controlled, and he often has high blood sugar spikes. He also does not take his other medications exactly as prescribed, instead choosing to take them whenever he remembers. He often takes 2 Valium at once, 1 time a day instead of 1 every 12 hours. Sometimes he skips a day.
Any help or insight would be greatly appreciated.