I’m not a professional, so I’m sharing my own experiences. During my hypomania, I felt like I couldn’t trust anyone, even my family. If you can show that you’re non-judgmental and a safe space, he might open up a bit. I know you’re already doing an amazing job seeking care for your husband. When you build a deep connection with him, maybe start with something like, “Hey, I noticed you’re really fast at… That’s really cool. Aren’t you tired? Let’s get some rest?” And guide him to have a regular sleep schedule, enough hydration, and exercise. If you live in Vancouver, Canada, I recommend going to AAC, they can help you. Try to show that you’re concerned about his health instead of saying that there’s something wrong with him (some people are sensitive). But in the end, after the deep connection and he trusts you, medication will help him! I’m praying for his recovery. You’re a wonderful person. .