dear doctor i am really upset .my brother aged 23 is a mental patient and is undergoing treatment for 6 long years without any improvement.....instead his condition is getting worst.he was otherwise a normal person but wrong treatment has made him worst so much so that he is suffering a lot now....earlier he only got depressed but now he hurts him,throws tantrums,once he even bite my mom when he got angry...he is not eating anything and is hurting himself....he has even got a tendency to commit suicide ....we went to Ranchi and Vellore but they said that he is not a mental patient but a patient of severe depression .....please help!
Hi Basmati, From the symptoms you have given, it appears that he may have something called as "Personality disorder" in addition to his mood/depression problems. This kind of problem needs long term treatment and family members will be an important part of this treatment.  SIMIANS in Bangalore, Institute of Psychiatry Ranchi, CMC Nellore.....are few names that jump to my mind which can handle this kind of problem effectively. As I said this will need lot of assessment and therapy is long. Please ask for a "Personality disorder specialist" to assess him. In regard to admission, it will be only needed when the risk to himself or others is very immediate or very great otherwise, we always like to manage this kind of problems in their own surroundings. Management will include medication but psychological/talking therapies play the biggest part and most lasting effects. Bottom line, please get someone more experienced in personality disorders to assess him. Good Luck to both of you