First off, I can't believe he lied about the job thing. Why would he think that was necessary, if only there had been some truth to it.
"I’m sorry, but how does someone so mentally disturbed, and by that I mean suicidal four times over,
get to the place where he can really make his own life decisions?" - I fwould've been so fucking pissed off by that comment that I probably would've walked out. If Bernard thought that the previous comment was patronizing, then what was this? I have no idea how he took it so calmly.
"I won’t be trapped in a sick, abusive relationship" - Just really a short comment on this... I think that 'abusive' was a pretty strong word in this. In fact, I don't really see how any aspect of their relationship would be categorized as abusive.
So, I understand Bernard completely, I think he has every right to be jealous. Especially if he has to hear about Randy every day. However, I think Bernard has had quite a set-back. Or maybe he just let out some things that he'd kept bottled up. But he seemed rather paranoid.
"He reached for his hand, but was denied," or something like that. Sorry, can't myself, you've used this phrase several times in the story. I dunno, I just always noticed repetitions.