Hello, 
My brothers mental health has started to increasingly decline. On August 3rd I had to pick him up from work because he was distressed, he had only been running on 2 hours of sleep and was dehydrated. He was super stressed out at work so he had a psychotic episode. He was confused, had short term memory loss and was saying a bunch of stuff that didn’t make sense. He kept saying he was hearing “frequencies” and that he was the flash. It was really scaring me so I took him to the ER (he also had a fever.) They ran a bunch of tests and did a mental health evaluation and said that he was having a psychotic episode. He then agreed to be transferred to a psychiatric hospital to work on himself and his health. He was doing great until he stopped taking his meds. He said that they made him feel depressed.. In my opinion, his psychiatrist should have prescribed him a antidepressant along with the anxiety medication and antipsychotic medication. He’s not thinking right and he doesn’t understand that. He leaves in the middle of the night and walks around Downtown Portland which is something he does not normally do. He keeps saying that he’s the president of the United States (which he is obviously not.) He posted his card information and said “Unlimited supply for all” and is non stop posting weird stuff on social media. We can’t take his phone from him or his keys, and he refuses to take his meds. Taking him back to the psychiatric hospital is our last resort so any help on to handle this situation would be great. I really want my brother back but he’s not willing to help himself. He was diagnosed with bipolar disorder and the doctors are leaning towards schizophrenia as another possible mental disorder. All of this also taking a toll on my own mental health and I don’t know how much more I can handle, but I don’t want him to feel worse as he’s already in a fragile state.