I've suspected for a while that my boyfriend is bipolar and after almost 3 years of being together I finally convinced him to go get help. They didn't listen to what we said, they only heard what they wanted to and gave him antidepressants. The antidepressants they put him on have set off a manic episode. He is extremely paranoid and is experiencing delusions of jealousy. My having had a normal conversation with one of our neighbors has him convinced that I either have, or am going to, cheat on him with this man. He has threatened to come home for "surprise visits" from work and said that if he "catches me" talking to the neighbor he's going to beat him up and nothing I say will stop him. He is convinced that anything I say is a lie and that I am not to be trusted. He refuses to believe that it's his medication and won't stop taking it. He insists that he's acting in a more calm way on the medication than he would off of it. He has also said that he doesn't need therapy and doesn't plan on going to his appointment this Thursday.

I have called my therapist and told her all of this. She agreed with me and said she would talk to his therapist. His appointment with his psychiatrist isn't until October 14th. I can't tell him that I called and talked to the therapist about him or he'll just be even more paranoid and not go back. I can't flush his meds or he'll freak out. I've considered asking my psychiatrist to call in a script for sugar pills that would look like his meds so I could switch them. I can't drive anywhere due to a medical issue I'm dealing with right now. I don't have any support network for myself except for my boyfriend and my family. My family would either freak out and try to get me to leave him or try to help get him admitted to a psych ward. I refuse to leave him when this problem is due to improper medication and not some unresolvable issue. I also don't think he needs to go to a psych ward he just needs to be convinced that he has to stop taking the damn pills.

Can anyone think of some way for me to approach him where he might actually listen to me? He doesn't have anyone that he's close to that I could call and have them talk to him instead. He doesn't trust anyone and has only one friend who lives states away. Can you be at all rational and get through to someone dealing with this? Can anyone think of some way for me to help him through this. I feel horrendously guilty because I feel like I'm the one who got him into this mess. What can I do to help and how do I keep my own sanity until then?