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A.
Alcoholism can make one psychotic in 12 different ways! So it's not a deliberate act. This understanding is important for all of you, as it's hard in itself to put up with his angry filthy outbursts! I am sure there are other reasons why this behaviour continues. Psychiatrist can help you with medication and therapy to address the unconscious reasons behind his act.
I would talk to the psychiatrist about Vivitrol intra muscular injection that is given once a month. This helps with compliance (assuming that he is not taking his oral meds regularly).
Is he attending self-help groups like AA? Is his wife and children going to Al anon? (Family of alcoholics meet for support and to cope).
I recommend that he be placed on valproic acid if his liver is fine for anger issues and also send him to anger management groups. It is also his paranoia that needs to be addressed so a cocktail of Thorazine, valproic acid,along with Disulfiram and Naltrexone or Thorazine, valproic acid vivitrol injections will be of great help.
Talk to the psychiatrist. Try to get family counselling and battered woman support groups for his wife and family.
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