I am 25M and my brother is 31M and we have an estranged relationship. Our family lives in Canada but he is currently stuck in Mexico due to Covid-19.

My brother has manic episodes once very few weeks to months which involve him losing all ability to be rational, becomes extremely egotistical, and very aggressive verbally and physically. I don't have a full grasp of what he's going through but it's definitely seriously enough that he can just walk into a hospital, show them prescribed meds and they will instantly let him through ahead of everyone else.

According to my older sister he has gone through many therapists and support groups but hasn't seen much progress. He also believes the meds no longer work or never really have. He has also lately become more of an alcoholic which also increases his chances of having an episode when he starts drinking heavily, which is uncommon.

He's still in contact with our mother via texting while he's in Mexico and she mentioned he's having a complete shit time there. From losing money, having mental breakdowns, suicidal thoughts, getting into a lot of physical fights, and many crying sessions.

I suggested family counseling to my sister but we were stuck in a waiting list and he had left before it was available.

I fear the news comes one day that he died overseas or either of us inflicts irreversible physical injuries to each other.