The Following paragraphs below were in response to a question Via Quora.com.

A women asked if there was any way someone with Bipolar Disorder could lead a healthy normal life (BTW What is Normal anyway?)The women had told me that her boyfriend was up and down, and a few times physically abusive  Below is my response. To her Question~

Yes, and no. It’s a double edged sword.

First it sounds to me like he is not managing his illness. The first step to mood stability is taking medication to level out the moods. This usually requires medication of the anticonvulsants family such as depakote, lamictal, topamax to name a few. Lithium is also awell known medication in regard to bipolar management.Next sleep is as important as meds. A proper sleep scheduleshould be in place. At least 7 to 8 hours of sleep a night. Otherwise moods become unstable and a manic episode will follow. Next exercise is extremely important. This gets the brains neurons and transmitter firing the right type of dopamine through the brain the endorphins get released. At least 5 days a week he needs to get a good strong workout in for no less than 1 hour.I mentioned the above because what you are telling me does not match up to someone working a routine to keep bipolar disorder managed. Anyone that has experience with bipolar would say that the three mentioned above are of the utmost importance.

Then you have alcohol. A bipolar person simply shouldn’t drink at all. However I personally drink an occasional glass of wine without repercussions. Remember that the variables are vast in management of bipolar disorder and each person is unique in symptoms and treatment.

 

 

Next meditation and spirituality go a long way, I pray each day upon waking. I meditate later in the day. I can not stress enough of how God has helped me. I realize not all share my view in regard to God. But hey it’s all personal and more importantly what works for you. I will say that when I didn’t pray and have faith, I was not a happy camper, and all the meds in the world did not make a difference.

 

Today I’m on an extremely low dose of meds. I only take 250mg of Lamictal, and 100 mg of Trazadone, Xanax only when needed. My meds are mild in comparison to others I know. It was not always like this for me. But prayer and spirituality centered me. Changed me.

 

Now if any of the above is not being followed to the best of ones ability, it’s gonna be one hell of a ride.

 

To answer your question, yes it can be done. But the management is a hit and miss. One has to be diligent in order to stay with the realm of reality, and to thwart mood swings.

 

What you are explaining almost sounds like rapid cycling. Truly your spouse needs to manage the disorder more closely than I suspect he actually is.

 

Also no form of violence should be tolerated. Period. None. I can’t stress that enough. Every time you over look physical violence it will increase in severity each time after until a deathly outcome may be achieved. You don’t want that, no one does. But a person in mania or hypo mania does not use logic or have the filter in place that those who don’t suffer mental illness have. So I severely stress again no violence tolerated!

 

I highly recommend couples counseling. A temporary separation while his medical issues are worked out and managed better. Also you should accompany him to a few psychiatric visits. Why? Because your reality needs to be offered up to the doctor not just his in order to be treated properly.
Besides this is a team effort. Support helps.

 

Research and read. Here are two books I highly recommend. This one is like a handbook for bipolar people.

Next one is ~Madness~ Marya Hornbacher does a phenomenal job of giving the perspective of a manic bipolar person. I just recently finished this book.

I will tell you, both books will give great insight and ideas to you and your spouse.

Now the flip side. If he does not take treatment seriously, and does not manage his bipolar, then the answer to your question is a firm and loud NO!
You will not be able to lead any type of happy normal relationship and life unless steps are implemented and treatment is followed.

It took 3 and a half years to get my life right. Lots of loss and heartache along the way. Many relationships lost. Financial trouble.. Just huge mess. Even jail time.

If I can be of any further assistance please reach out to me via private message. I am more than willing to help in any way I can, and point you into the right directions.

Also get online and look for support groups in your area.

Good luck.