Thanks for the clarification......glad that they can hold him longer and that you are in the loop as far as his treatment plan.
You didn't say what your fiancee has. There are so many disorders but it sounds as if his symptoms were paranoid schizo type but also could fit in with some Bipolar.
I have a daughter that had a med induced hypomania when treated for depression. It was quite scary UNTIL we got down to the bottom of things and she was diagnosed and treated for the Bipolar.
How often the episodes occur depends on the diagnosis and how well the meds treat the symptoms.
With a chemical imbalance in the brain it isn't one med fixes all like a physical illness would warrant.
Since everybody's brain chemistry differs the meds need to be customized accordingly.
This can take some time and alot of patience on the part of the person who is ill as well as the family members.
So....there is no simple answer to your question.....time will tell and the best thing you could hope for is that Marcos is open to treatment and finds himself a good psychiatrist and therapist to help him get to a stable place.
How often an episode happens will depend on Marcos' committment to wanting to stay well, making whatever lifestyle changes he needs to in order to remain stable which includes a good sleep regimen, a good balanced diet which avoids caffeine and refined sugars, good exercise, avoiding stressful situations, taking meds as prescribed and consistently seeing a psychiatrist and therapist to develop good coping skills and ways of identifying triggers.
Meds will only do so much and that is why it is essential for Marcos to have a good therapist who will help him handle whatever residual behaviors exist after the meds have somewhat stabilized him.
Sounds like he was quite delusional and hopefully you will see improvement with that once the med kicks in.
Some meds take a month or two to really take effect so keep that in mind as well.
Your best bet to being a supportive partner in all of this is to gain as much insight and understanding to whatever his diagnosis is and more importantly lining up as much support for yourself so that you can take care of your own mental/emotional well being.
There are support groups available through N A M I one which I hear is quite helpful is called Family to Family which is a 12 week program where there are other family members dealing with similar issues as yourself when they have a loved one with a Mental Illness.
As far as your children's safety....I would recommend that you not leave them unattended with your fiancee and that you have some boundaries set IF Marcos is to live with you. Such as he MUST take his meds and consistently see his therapist and doctor and that if there is ever reason to fear for his or anyone elses safety that 911 will be called.
Boundaries are what you put in place for YOU, not him. And whatever you set as consequences if he is to cross such set boundaries you must follow through with.
I would suggest to keep on posting here or other places where you will find others who have been in your two shoes.
Nobody will understand other than somebody else who has experienced having a loved one with a MI and you won't find yourself feeling so alone either.
I hope this helps a little bit.
(((HUGS))) ~ Ivory