My brother was diagnosed when he was 13 and he has been taking all sorts of pills and going to psychologists and psychiatrists for several years, he is now 28 and I am currently 21. He is quite functional and seems quite normal on the outside but after talking for him for a while and being around him, you start to notice certain things that escape the norm. Like his fascination for UFOs and the paranormal, the constant ramble of war about Russia and USA, and how people are possesed by evil spirits and the like.
I have some trouble dealing with him and relating to him as a family member and I often ignore what he says because I´ve grown pretty tired of it, (it has been the same talk for 8+ years. I would consider our relationship to be pretty solid but because of his condition it is hard for me to count with his support for our future or for me to count on him to actually help himself to live healthier and happier.
I am worried because he doesn´t take care of himself and he lets himself go, often not showering for several days and eating whatever he feels like eating (it was really bad several years ago, he wouldn’t shower for months etc). He fears and neglects responsibility and he lacks the courage and continuity to start and end activities. He doesn´t have real friends except his drawing teacher which spends 2 or 3 hours every week and he doesn´t leave the house much. He often refuses to do things for himself out of laziness and perceived inability. It is also hard to help him because he believes that others are out to get him and he is quite distrusting, even so he trusts me enough and likes me enough for me to consider spending myself on trying to help him.
I have seen him improve on some levels throughout the years, for example he doesn´t want to kill himself or that he seems somewhat interested in pursuing activities such as playing instruments and drawing. However, it would be beneficial for me and for him if he could take better care of himself to promote his health and if he could find some friends that could help him feel better.
What can I do to help him improve his condition? How can I help him live a happier and more fulfilling life?