[dsego]

Speaking from experience with my brother, it's an uphill battle. Without meds, he can go into a full-blown psychotic/manic episode and every new relapse damages the brain further and makes it harder to come back. With my brother it's especially bad since he doesn't even hear voices, but has delusions of grandeur and gets very confrontational, thinking he is the devil and wants to hurt people. Just recently (a few months ago) he had his third hospitalization, even though he was receiving abilify injections, and this time it took the strongest meds (haldol, leponex) to stabilize him. But sometimes it needs to get worse before it can get better. Try to convince him to take meds or get him on monthly depot injections. For reference, we are in our early thirties.