My brother is 20 years old and he is not behaving normally since last 5 months. He used to be good in studies but he didnt write anything in answer sheet in recent exams of 2nd semester, Bachelors. Moreover, he refused to join college recently. He gets angry for very little things. He looses self-control and find himself in brevity of self-confidence. He gets uncomfortable in talking to outsiders. He sleeps very late and could not sleep easily at night. These are the symptoms which my family members addressed in last two months when he came home from college and he does not speak a word of joining college anytime soon. Suggestions are highly appreciable. If there is a need to see a psychologist please suggest whom should we refer to. Many thanks!

Dr. Bharat UdeyPsychiatrist3yrs exp

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Hello, welcome to lybrate. from the above account I could summarise that your brother is having complaints of reduced interaction, reduced interest in his studies, anger outbursts, reduced self confidence, reduced sleep as well, since last 5 months. These symptoms can be caused by an underlying depressive episode/ psychotic episode/ adjustment issues. Hence to reach a conclusive diagnosis a detailed evaluation is required by a psychiatrist. Only after than further management plan can be formulated. Since he is too young, it is important to consult as early as possible, because if delayed the chances of early recovery would reduce. Also the delay may increase the severity of illness and can further deteriorate his functional abilities. If you want to consult further in details and want to seek treatment as well, you can reach me in private. 

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