i dont know where u r from, so i can not recommend u any doctor or hospital, but i can give u som possible therapeutic options for your brother s illness. if symptoms are severe n causing problems then following are the options: 1. give mouthdissolving antipsychotic medications like risperidone and olanzapine. these medications can be added to fluid like water n other liquids, can be given with food, without patient s knowledge. it is odourless, colorless, tasteless. so it can be used when pt is denying for the illness and refusing for the medications.. 2. patient can be given long acting antipsychotic injections..as for example, inj.clopixol.. two types aare available depending upon the dose and acuteness of illness. inj.clopixol acuphase [50mg] is given intramuscularly and after 3 dyas of this patient shud be given inj.clopixol depot [200mg] which releases drug slowly for 21 days.. depending upon the symptomatology the depot injection is repeated every 14 days or 21 days... apart from this u can sedate your brother with the acuphase injection and take him to the nearest psychiatry hospital and get admitted there. the treating psychiatrist will guide u and manage your brother s illness in a best possible ways.. i dont know where r u from but electroconvulsive therapy could be a good option when everything else fails...