Hi- My husband has had recurring depression for years. He is on citalopram, but it has stopped helping. While doing a search on cyclic depression (because he has terrible depressive episodes and then is ok for a while), I came upon bipolar 2.
I think this is the answer. The more I read, the more I believe he is bipolar, not depressed. He has the self-destructive streak, which he's well aware of, but doesn't have specifically manic episodes. There are periods of time when he's very focused, takes on lots of work, and is at his happiest. Before his deepest depressions, his personality takes on a change, where he's a bit argumentative and dismissive.
We've been married 24 years now, so we have a fairly clear picture of his symptoms (he says that I have a clearer picture than he does, because he loses days sometimes when he's very depressed).
We are talking about it, and I would like to get him in to see a local doctor. We are from Canada and live in Mexico, but the local doctor seems very knowledgeable about most things, and very open. Is there some literature I could take to the doctor to be sure he is up on this disorder, before I persuade my husband to go in to see him? Thanks for your time.