My mother lived in fear that he would commit suicide. He always used it as a ploy to get what he wanted from her. Now she is gone and expects to be taken care of by his siblings. He is destroying the house doesn't clean, won't even call in his meds. Has threatened me numerous times. He needs help and supervision that I cannot provide. My other siblings won't. Most of his issues revolve around a lifetime of drug abuse. With his mental health issues he also has high blood pressure. But thinks he is entitled for some reason to be catered to. Don't know where to turn. He destroys everything i fix or improve. And explodes when I say he needs to take responsibility or cleanup after himself. He is out of control and lazy. Act like he doesn't know how or doesn't understand stuff so he doesn't have to do it. I can't raise my older brother any longer! He takes 9 prescription medication and even expects me to get them out 3 times a day. Who can help me with this? He has become abusive.
I agree with the others -- he cannot live on his own, it's unsafe to live there with him, and you can neither fix nor help him. You need to detach emotionally from him, because you have to decide if you're going to let him terrorize you as he did your poor mother.
I have seen many times family explain the 'label' but haven't understood the effects or severity on life skills.
Paying bills, keeping house, personal hygiene are skills requiring assistance & supervision.
'Lazy' is apathy/loss of motivation - part of the negative symptoms.
Most require supervised residential care, although some can live alone if very well supported. Many do not have insight to their needs - regardless of how often you point it out. It is part of their brain condition.
You cannot fix him or cure his condition.
You CAN advocate for his care by alerting his Doctor or Mental Health Case Manager that he is an adult at risk.
Many face crises after a parent dies, until appropriate residential care is found.
It may help to think of him as an adult with special needs - as he is. Without the right environment, he is like a child, trying to cope. But in a supportive group home, he could learn tasks at his level & hopefully florish.
Really nothing. His condition requieres psychotropic medications to keep his symptoms at a low level. Schizo-affective disorder is incurable, like diabetes or epilepsy. He needs to take medicines to control his symptoms. His behavior and mental reasoning won't be modified. As a matter of fact, they deteriorate further with age. He belongs somewhere else, not at your home. You can't throw him in the street either. Contact his psychiatrist or mental health clinic and ask for help to have him placed in a halfway house for the mentally ill.