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Saturday, August 14, 2010 proposon asks

Q: Younger sibling schizophrenia

Hello

 

I have a younger brother who is schizophrenic. Most of the time he is very shy, quiet and retiring and inward. We go to the cinema, and shops, and play video games and enjoy films together. Sometimes he has turns and will say things that are out of character, or strange, or laugh at random. Sometimes he will have a big turn and start to question everyones sanity and claim he hears voices, with specific individual names and traits.

 

 Lately he has been more withdrawn however and has been sitting in the dark in his room playing video games loads and shows no desire to go out except to buy games or for a quick car ride. Today I told him not to mumble and to speak up so people don't trample on him in life. Later today he had a massive turn and started asking why he could hear this fictional group of people with names like Rebecca and Mr Mills and very specific traits. He thinks this collective are out to get him and hurt him through the TV with telekinesis (seriously). He is quite convincing and it gets scary and he wont calm down or listen to reason.

 

My questions is - what is the best approach to this? To shout him out or to rubbish his claims, or to reason with him or to deny his sanity or what?

 

Any help is appreciated. Thanks.

 

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Answers (2)
Christina Bruni, Health Guide
8/15/10 4:29pm

Hello proposon,

 

Your brother will not recover unless he takes some kind of medication.

 

Your parents are actually doing him a grave mistake by not letting him take medication.  If he is 18 in the U.S. or of the majority age where you live [I pick up Britain - are you from England?] he must get help right away.  Offer to drive him to a doctor's office or go with him on the bus or train.

 

Make no mistake: the time to act is now.  He will decompensate even further the longer he goes without medication.  This is no laughing matter-it is serious and I'm alarmed that your parents have this attitude.

 

What can you do in the absence of your parents' concern for his well-being?  I can tell you that they are endangering the welfare of their child and in some countries there is a law against that.

 

You can talk to your brother and suggest he get treatment and if he is 18 or of the majority I would insist to him that you will go to him to the doctor's office.

 

I recovered to the great degree I have [with a Masters degree and two jobs and a third one on the side and a ton of friends and my own apartment in a coveted neighborhood] quite simply becase I take my medication every day as prescribed. 

 

My mother drove me to the hospital within 24 hours of my breakdown and a day later I started taking the drug that took away my symptoms.

 

Your brother is hearing voices.  Your parents are doing nothing.  You are in a tight spot because I take it you don't want to confront your parentss.

 

However your brother's sanity might just depend on your having the courage to take action. 

 

Right now.

 

Regards,

Christina

Reply
8/14/10 8:36pm

Is it possible to ask your brother's doctor if he can take an increased dose of medication during these downward cycles?  Many people have to do that.  Some medications can't be increased/decreased as needed but maybe his can.  I know my Zyprexa doses range between 7.5 and 20mg.

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8/15/10 5:12am

He does not take medication of any kind, my parents will not allow it.

Reply
8/15/10 1:55pm

How old is your brother?  If he is 18, he can make his own decision about taking medication.  I know some religious beliefs like those of Christian Scientists and Jehovah's Witness do not allow medical treatment, and some people just believe medication is not needed.  And it wouldn't do any good to try to force parents into doing something that goes against their beliefs or preferences.  On the other hand, my beliefs and personal experience (I have schizophrenia and so did my grandfather) tell me that if medication can help me to live a normal and productive life, rather than live a life of mental pain and suffering, then medication is the right route for me.  I hope your brother gets better on his own.

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By proposon— Last Modified: 12/26/10, First Published: 08/14/10