Un-medicated bipolar boyfriend is lashing out - would it be wrong to ask his family for help?

Question

We have been together for almost 4 years, have a 7 month old, and I’m pregnant again with a high risk pregnancy. I’m high risk for an early and tiny baby. 
He went off of his medications probably a month or two ago and he’s definitely showing signs of increased anger since going off of it. He has an increased sex drive and gets mad if I don’t want sex or seem excited to have sex. If he thinks, for any reason, that I am upset with him, he freaks out. He gets annoyed quickly hearing our son cry. When he gets mad, he says a lot of hurtful things like telling me I should die, that our babies were a mistake, calls me a bitch, etc. A few days ago, he started to throw stuff around and today attempted to throw a shirt at me - all of this over sex. He doesn’t act like this when he is on meds and in therapy. 
He went off his medications the last time I was pregnant too and ended up so bad that he almost committed suicide the day before I gave birth. 
If he doesn’t go back on his meds I don’t know if I can stay like this

Answer

As someone that is bipolar I would consider this an emergency for him. I have the same behaviors when I’m off my medication and it quickly turns extremely dark and I NEED to be helped. I would definitely reach out to family for help. I know he can’t control the behaviors when he’s off the meds but he is an adult that can properly take his meds. If he does this again, I would strongly urge you to leave. It’s not safe for you, him, or the babies.

Answer

I'd tell him unless he goes back on his medication you don't want to be around that, it's also not safe for your children to be around that or see it.

Answer

I think it highly depends on what his relationship and dynamic with his family is. If they are close and help with these types of things on occasion, reach out. If they aren't close or if its been clear in the past that he doesn't want them involved in these types of matters, then its probably not a great idea. 
Have you sat him down (at a time when he's not already worked up) and discussed directly with him? Let him know that its getting bad again and you're concerned for him, yourself, your son, and baby on way. Tell him straight out he needs to get back on the medication and back in therapy asap. Family would be the next step if he has a close relationship with them on these matters. Otherwise, you may have to take some time away from him and call for medical help if you believe he may try to hurt himself again, just know they can have him put into a facility if deemed necessary but it may be what he needs.

Un-medicated bipolar boyfriend is lashing out - would it be wrong to ask his family for help?

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