Question

My Younger brother whose age is 20 and student of psychology and economics , He suffered from psychosis as he used to smoke marijuana hash and weeds for the last two and half years and suddenly stopped it, we consulted Dr.  and some medication prescribed by him. When I came to know about situation I went to Aligarh from Delhi (Working here) and found that he was not able to sleep for the last 5 days (probably 1 hr each day he slept) after we consulted psychiatrist he went extremely well as we took him to a trip for five days, after 5-7 days we stopped medication as he was good as earlier and suddenly after 5 days a relapse in same situation with fear and phobia and that phobia is increasing day by day and sometimes decreasing, I am not able to understand what exactly we need to do. The medication prescribed are-Divaa OD-250 (Divalproex Sodium) - 250mgOleanz (Olanzapine) - 5MgLonazep 2 Mgand after relapse -Felicita OD Caps. He used to study and practice spiritual things like Aura reading, psychic powers and Illuminati Groups, he fears that something bad going to happen according to his extra sensory perception which I cannot understand. Whenever he watches any tv channel relates it to himself or family or our family ancestors and fears that there is conspiracy and planning to kill or abduct us (family or him). He is now having suicidal thoughts which I am extremely worried about, he is an intelligent student and extra ordinary performer with good IQ. According to him Delhi is not safe for him, however I decided to take him to mother in hometown which is in UP East, we have a sorrow filled family history with divorce of our parents at the age of 8. Father had fewer symptoms of schizophrenia and very mild and he is an ENT surgeon, a doctor by profession. I am 22 years old, doing job in a BPO to support family and studies, I always used to send him very limited money so that he himself can do some part time job to become a responsible person but he was never able to do so. Please help me to get my brother on right track and remove all delusional or false thought from his mind. Doctor now prescribed trinicalm, which is for schizophrenia and which blocks dopamine receptors, he is happy and gets sometimes fear about being himself or me abducted as he has posted and revealed illuminati groups, according to him which is delusional. His eyelids moves sometime at very frequent interval which I think involuntary. Please he me, I will be highly obliged to you doctors.

Ms.Samiksha Jain · Accepted Answer

Yes you are indeed taking good care of him and so is the psychiatrist. Keeping him mentally and physically occupied with a purpose is important. Some delusions will go away and some new might come. It takes time for delusions to leave a person completely. Counselling can helps schizophrenics if they are not extremely disturbed by it. Ask his doctor and take him for counselling to control his delusions and fears. Also the drugs weed and marijuana would have weakened his system and left behind a lot of toxins which will continue to show their presence by way of emotional and mental imbalance. I suggest that he does a detox so that the toxins can be eliminated. Ayurveda has some powerful detoxification therapies and will help him to reduce symptoms. Though allopathy medicines are suiting him, but they have side effects as well. I suggest that you take an informed decision and educate yourself on these. Ayurveda and homeopathy are slow to treat but come with fewer side effects. Take your call after you have done your research.
Besides this exercising regularly and eating a healthy meal has tremendous benefits on mental and emotional wellbeing too. Try to reduce junk to minimum as there are enough studies linking it to depression and other mental illness. Don't leave him alone as he's suicidal. He will need constant monitoring without him feeling overwhelmed.
He should be in social company of friendly and supportive people as this will keep him integrated with the society.
Lastly, I request you to take care of yourself as you seem to be the caretaker. Take frequent brakes to replenish your energies and meeting your own life goals. Get help from friends, neighbors, relatives etc. Look into your own food, sleep and exercise. Remember that you can take care of him longer if you care for yourself first.

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