A lot of my husband's behavior seems to be explained by ADHD so if I had to guess, that's his primary issue.
ADHD doesn't explain leaving the hospital when you're supposed to be working to run "errands", especially after you've been warned.
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That alone wouldn't indicate bi-polar, but then when he moved out and separated the first time 2.5 years ago he was depressed first, as I've written in the past and don't want to bore you, and then suddenly he met this nurse he fell in love with and he started body building. Suddenly he was spending hours at the gym every night, texting this nurse 50 - 100 times per day (I found out later), and he was taking these 'explosive energy' drinks to give him energy to lift weights. He stopped playing with our daughter, ignored me, and started to engage in risky behavior like drivng six hours to Canada one night to visit an old girlfriend and then drove six hours back the next morning.
This sounds manic and if he was bodybuilding he may have been/may be abusing steroids. Also those energy drinks may trigger manic behavior in a susceptible person.
You have little control but you might try gently suggesting to him that you see erratic behavior and hope he gets some help, and mention the possibility of bipolar or addiction. He won't likely admit anything to you but it may plant a seed.