It seems that you are faced with a triple whammy in this stitch. Has she ever refused to take her meds before? I have heard that when a person is in the manic mode, that is when they will get stubborn about taking their meds b/c they don't think they need it any longer.
Did anything particular happen during the last 16 years that made it so difficult.....or is that just her description of the MR?
Sigh, I've had my eyes closed for a while. She had an brief PA/EA about the first year into our M. (15 years ago). It lasted about two weeks until OM rejected her. I had been confronting her about my suspicions, and she finally confessed all the details to me then promptly took my 2 year old daughter to the other side of the country for several weeks. We had little contact, and then she came back on her own. It wasn't going very well, and I finally told if she had no remorse and wasn't going to try that I would file for D myself; she begged me to stay. she was eventually diagnosed with bipolar, which I blamed a lot of the incident on.
She was married before, and did the same thing to her 1st husband 6 months into the marriage; ended in D.
I decided to stick by her this whole time with her emotional baggage. Most of the M, she's been emotionally detached and I've been chasing her. I've confronted her several times about it, and she's promised it wasn't me that she just needed time to work through her depression issues. I now suspect that I was just there to take care of her.
M:42|W:40|D:17|S:13|Bomb:10/23/09 Awoken's Current Thread