Sorry for the delay… I really took an interest in this group when he was doing poorly, leeched the support, and when he started doing better, I stopped checking my account.
In answer to your question, my brother did not end up recovering for good as I probably thought when I wrote my last post… he has had multiple psychotic episodes since then and has gone through several jobs. He seems to have one episode per year, and it takes months and months for him to recover and start over. I am happy to say that currently he is doing allright… he has maintained a normal, college degree-level job for the past few months and seems to be meeting their expirations enough to not get fired. He is living with our mother. He sees friends on the weekends, golfs any chance he can, almost daily after work, and actively pursues hobbies like learning guitar. He goes on dates that I’m pretty sure he meets on Tinder, but the relationships don’t seem to go very far as of yet.
There have been some highs and lows the past few years… the key seems to be for him to consistently take his meds. He seems to have major setbacks even if he just goes a few days without taking his meds, and it takes him much much longer to recover. Every time he has setbacks, he goes back to the same obsessions he had during previous psychotic episodes (wanting to sue certain institutions, being obsessed by how he was wronged by an old professor, etc)…
About 1.5 years ago, he had a major episode and ended up maxing out his credit card to fly to New York for unknown reasons, and when he got there he had no idea, or at least wasn’t able to explain, what he was doing there. When he finally got to the rest of my family (where he was meant to be traveling to originally for a family vacation in Florida), he spent the whole trip convinced my mom was a witch, and the rest of us spent the trip trying to get him emergency medication from a local pharmacy. It may sound as if he was on drugs, but fortunately he does not have that often co-occurring illness.
The bright side is that he seems to do ok when he consistently takes his meds. I can’t say that he is the same as he was before this all set in, he’s not… I still love him and he still has many of the traits of his old self. I would say he is more self-absorbed than he was before, and I don’t mean it in a condescending way, it’s just that he is less naturally inclined to think of others and more preoccupied by himself and his inner world. Sometimes when I see him he is present and seems like his old self, fully engaged, and some times he has an air of permanent distraction. However, he still maintains a job, hobbies, and a social life… and time will tell what the future holds. My hope is he will be able to live independently and share his life with someone whom he loves and who loves him in return.