Heya r/schizophrenia,  


I'm not looking for medical advice, but I'd like to hear your opinion on whether I should actively intervene with my brother. I need to decide between passively helping him cope as a brother or actively forcing him to get treatment. The risk here on a trust level is high, therefore:  


Quick Context:

I and my twin I (m/m 22) grew up with no vents for our emotional needs. Classic strict parents, little love, etc. After his first relationship with 21 betrayed him terribly, his emotional state is burned down and he is not able, as he never learned to cope with such, to deal with such a disheartening situation. This was the trigger.  


2 weeks after the breakup he started to walk around the house for 10-30 min intervals, disorientated and mumbling to himself. Spacing out as if he's on the phone, but upon questioning never quite seems to be able to explain why or what moved him. This can happen for 5 seconds, or the last 20 min if you leave him undisturbed. After I saw him like that for the first time I let him move in with me, solved a lot of worries for him, and made sure that his overall mental state could be improving. Ergo, never alone, always open ear and encouraging. I had some tough times too, so I somewhat knew how to react.  
This then got worse over time, and I noticed that he is only showing symptoms when in emotional distress, like any at all. As if there is no barrier at all, and he is acknowledging that he is disassociating. But even after the trust level we established and have as twins, he won't tell how or why or what he's thinking, about what or why. All I'm hearing is "I know I'm retarded".  I don't think it's an emotional valve, but watching it now for some time it's more on the pathological side. Everything else seems fine, but I'm worried since I have the feeling that now even stress and anything negative is currently causing these states. Ergo, no personal shield at all. If I would call him stupid, he would zone out for 5 seconds. From the mumbling, I hear out that he is insulting himself or scared, but it's a constant state of negativity towards himself, during the state and embarrassment afterward. A sensitive topic for him, even for me and I'm all he has atm.  


Now, I asked multiple times and he is either not accepting or doesn't want to face his current predicament. I can't ask him to go, so I'm considering forcing/booking therapy for him. That would be a significant breach of trust for him, as in his current condition I assume medication / clinical therapy centers would be needed.   


I know you'd need more information for a better judgement, but I don't want to bore you.  


General vibe and feeling, should I take action or continue to be there for him to the best of my ability? And where is the best place to start this journey - Doctors, therapy, counsel?  


Thank you guys and gals :)