system
Suggest remedy for mental health problem
human
Dear Doctor My brother faced a major shock due to dismissal of mother in 2001, and before that he was also very much disappointed with his failure in IIT JEE. However he was able to get admission in a local engineering college and started his studies under Electronics and Telecom Engineering around 1999. Since then he was somehow able to continue studies till 3rd year with off and on performance. But now he is unable to concentrate on any study though he will try to open a book but will start thinking something else; seems he pretends studying.Medication - He has been undergoing treatment and taking medicines indirectly for last 7 years – Oleanz 10 mg (and Lamitor); resperidone etc Observations on his behaviour:1. Lifestyle is irregular – He will get up in time and get ready for a day or two and then for next many days he will not shave/bath at all.  Similarly he will not take the main meal for the whole day till evening.Sometimes he used to get ready early in morning to go to his college; he would try to go to college but finally would not be able to do so .2. Sometimes laughing when alone 3. Talking to himself when alone 4. Writing the same points again and again. These are same objectives he wants to achieve like waking up early, completing his engineering degree course, getting a job and establishing a company. He will also narrate that he should keep himself safe from a particular neighbor. This insecurity must have some link with his college as well.5. He will not take medicines himself, so he is being given medicines without his knowledge.On the positive sides:1. Likes to meet known persons, and sit with them though he will not talk at length. And will go to market if somebody asks him to buy some household etc.2. He was good in his academics, won many awards in drawing both at city and state level.3. Participated in extracurricular activities like NCC, debate etc.4. Has wisdom to understand and differentiate between good and what is bad to him and family.
gpt
Hello thanks for using healthcaremagic.I can understant your worry for your brother.From narration I can say he is suffering from schizophrenia.There are negative symptoms as well as disorganised behaviour present.For this I think he should be given amisulpride and/or aripirazole.He seems to be intelligent but due to his illness his cognition is affeceted. For that multivitamins containing methylfolate and N acetyle cystine should be tried.I guess some short of psychotherapy would help as he seems to able to understand.If he is not taking medicines long acting injection of antipsychotic medicines is an alternative.Keep follow up with one doctor for long for better results.Regards.Dr.Chintan Solanki.