 [ Symptoms ] my brother is dilusional and paranoid what can i do to help him my brother age 60 has a history of alcohol and drug abuse he is smart but does not act smart he moved from the east coast to the west coast just recently he is disabled due to some neurological issues and is in pain most of the time i set him up in a small apt and now he is convinced some guy threatened his life and has packed his belonging and is ready to leave no money no gas and refuses my help what shouldcan i do [ Disease ] i am sorry you are going through this and have not received a timely answer with luck the immediate crisis has resolved itself some things to consider if your brother is single has he designated a person to be his power of attorney poa this crucial document designates someone to make decisions on his behalf should he become physically or mentally incapacitated perhaps you could become his poa if your brother becomes increasingly irrational or delusional be aware you can call the police to try to have him committed to a mental health facility against his will if he represents a threat to himself or others he can be committed to a treatment facility if you have not already set him up with a primary care provider perhaps you could do so this would be a great first step in getting his physical and mental health evaluated you may wish to consult a lawyer to find out what if any your legal responsibilities are to your brother some states place legal and financial responsibilities on relatives of an individual who can not or will not care for himself you may want to investigate what the law is in the state of california while it is great you are helping care for your brother you need to know if you could be held legally liable for anything irrational he might do if you can not afford an attorney you may be able to avail yourself of free or low cost legal aid try doing an internet search for free legal aid and your city name if your brother simply will not accept your help he is free to do so as long as he is not a danger to himself or others this can be difficult to accept feel free to seek help and psychotherapy for yourself to help in dealing with your feelings toward your brother acquaint yourself with local crisis hotline phone numbers that way if something happens suddenly you are prepared you are a wonderful sibling to help your brother i wish you both the best