What to do about bipolar brother?

my brother has bipolar disorder psychotic features, autism and ADHD. He has lost his temper many times especially at our parents.

This time he lost it was due to him smoking all his weed. He went off on them and broke the side van door window with a hammer because they didn’t have money for weed. my mom is preferring to cut off all ties with him right now but I doubt that will last long.

he needs to be back on meds but he refuses to see a doctor.

How old is he??

he’s 30. going to be 31 this year.

Damn I don’t know that’s tough. I remember being 18 years old…right after I got arrested for possession of weed and I threw a tantrum at my parents for not letting me smoke weed at the house because it’s “not bad at all”…then I proceeded to go and smoke weed at the house anyways after they went to bed…but I was 18 and I was very immature for an 18 year old if that. 30 years old? that’s not something you just “grow out of”

He cannot be ostracized by his own family too. He will end up on the street like the other patients that need help with their “mental” disease but are cast aside by the medical community due to lack of true understanding of these disorders…

my uncle took him in, its just my parents estimated he smokes 500 dollars worth of weed a month.

my very good friend, Jason, bipolar, got help through a dayhab program through his clinic, group therapy and fun stuff to do,

but he’s not consistent, and might be back on it in 6 months. I also have liked to take him out to fun things in the community, but I drew the line when he said cutting himself was art.

?

that’s the thing, my brother refuses to get help. He quit going because he felt the weed cured him. He just smokes a great deal of it every month and is broke by the end. So he donates blood and gets money that way too.

This time what flipped the switch was instead of using their last 75 dollars on weed my mom spend it on my dad’s minutes so they can talk to me.

hmm, I’ve heard weed is not an addiction though, are you sure it’s a chemical dependency?

That amount of medication is what he has needed to survive to this point. Compare this cost with the cost of psychiatric medications still on patent and they will see this. He has found a medication that helps calm down the boiling stew of excitatory neurotransmitters that his brain creates during the seizure(I prefer this term over manic) phase of his disease. We have to take back the dialogue with new wording. The medical community and politicians need to “Stop Persecuting Patients”. “The War on Medications” has got to end.

it never stopped me from drinking, honey.

Every person has a different subset of receptors for different medications, therefore no two people experience the exact clinical effect from the medications I give. This is based on multiple variables. The medication that you used to survive, was due to your particular chemical markers. There is no standard dose for any given patient.

Can you tell me if chemical composition changes over time, and if so, how? If I am imbalanced, it feels more like a biological thing, not brain chemistry, deep down in the gut, cravings, and kinetic response.

by the way, I drink raw fiber supplement powder in my smoothies most days, it’s all in the gut, isn’t it?

all I’m saying is flora and fauna, right?

Not so much chemical concentrations of cells that are programmed to release a certain neurotransmitter. Something like untangling a mass of wires and then new connections not previously there are created based on experiences. It is definitely “biological” and not “mental”, like a glitch in the programming code for a computer.

so what are you saying exactly, DNA? or does our DNA change through life’s experiences that cause later sz. condition?

There are more gut bacterial cells than there are “human” cells in your body. One of the concepts very difficult to wrap for me to wrap my head around and understand the implications of what that means…

yeah, they used to use body motion, nutrition, almost like boot camp, but this isn’t cellular is it? As a writer I have found, no difference in eating blueberries all day, or drinking a 6 pack.

You carry the code for the cells to do their basic task which is to make patterns of connections as you interact with your environment. The DNA can change due to spontaneous mutations but the likelihood of these being at a critical part of the protein that it codes for would be very rare. These interconnections can be broken and new ones created due to your environment. Most of our human traits are manifested as a certain genetic predisposition combined with some event or exposure that triggers that portion of DNA to activate.