Family member of mine has gone through a sudden personality change. A lot of the change is positive, as he’s working to heal from his trauma and on self improvement. Only thing is that he has grandiose, abstract ideas that sometimes don’t make sense without him having to explain himself. Worried he might be in a state of hypomania, and worried that things will get worse.

He’s very functional and even goes to work and has taken many steps to take care of his basic needs. He doesn’t seem like a danger to himself or others  at all. I guess the fear I have is that a friend of mine mentioned something like a crash where he could go from this positive/confident/higher energy person to the other end of a more depressive state. Think they referred to it as dysphoric hypomania.

He’s scheduled an appointment with an LMFT for next week Friday (his sudden change started about a week ago).

My questions are:

Is an appointment that far too long of a wait? What if he “crashes” before then? 

Are there any way to get a same day psych eval before a possible crash could happen? Should we even be worried about that? (We went to an ER and they said they couldn’t help us considering he wasn’t in danger or I danger to others)

Should he schedule an appointment with a psychiatrist or is an LMFT okay? 

Location: CA, USA