My brother is 19 years old he is suffering from paranoia, he always scared and say that they will kill me and always want to stay with mom and dad and family all the time also lack of sleep.
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This involves long term treatment and he must also get counseling from a professional. He can be taught about handling his feelings particularly fear, and to distinguish reality from fiction. This may take a lot of time but the slow process is better to develop trust. He should be taken for regular exercise, and put on a tight program of interesting activities and productive functions. The more one can get him out of his disturbed mind by distracting things to do the result will be very useful. The consistent use of the medication will gradually subdue him from any violent outbursts and make him more amenable to therapy. Even if that does not get the desired outcomes then consult with the doctor to treat him with a course of ECTs or electroconvulsive therapy. The ECTs are a last resort and is decided by the doctor only. If you let him be idle or let him decide what he is willing to do, he will rule you all completely and will not be functional. So at any cost do not let him choose and you may have to force him to comply with the therapeutic needs. If all of this fails, then you may have to look at institutionalizing him, which is a tough call but may become absolutely necessary.
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