My boyfriend has bipolar disorder and malaria.   Hes a physician working on an HIV database in the Congo in Africa.  Since hes returned hes not the same person.  We (the family) have been chalking it up to sleep depravation but I believe its far worse than that.   He has turned from a man who carefully manages his bipolar to someone who appears to be autistic within a week.  Im scared to take him to a hospital because they will label him mental and not look into the deeper problems that have surfaced due to the malaria.   His psychiatrist is useless.
Hello, thanks for the query & I am sorry to hear all your troubles. Briefly, can you tell me what medications he is on for bipolar disorder? Considering the change in behavior from cheerful to aloof which is labelled as autistic by you; this might be a new episode of depression triggered due to irregular Chat Doctor.  So we will need to adjust the dose of his mood stabilizer medications for prompt relief from depressive symptoms; Secondly when was he diagnosed as malaria? Is there any documented fever or other symptoms? And whether he is receiving any treatment for same? Considering his recent trip & return from a malaria & other infectious disease endemic area; it will be a good option for a peripheral blood smear (PBS) to identify malaria parasite & start treatment with alternate, lumefantrine or other appropriate group of antimalarial 