Brother Diagnosed with Delusional & Paranoid Disorder

Started about a year ago my brother (17 years of age) was showing signs and saying things that wasnt making sense.
Recently about 2 months we brought him to hospital and was diagnosed with Delusional & Paranoid disorder.

He is in a state that in any cost he must not take medication.
We are currently giving him Risperidone/Risperdal oral 3mg in secret by putting in his juice or water.
I believe this medication is working well for him the delusional thoughts are less than before..

Is this the right medication for him? How long should he continue to give him that? Will it be better if we increase the dose?

Any help would be appreciated

My feeling is that any medication given without patient consent or doctor approval is dangerous and wrong, even if you believe that he is improving.
What treatment or therapy is he undergoing otherwise? I would continue with that route.
Where are you getting this Risperdal from? Has he been considered for inpatient treatment?

Wally58 wrote:My feeling is that any medication given without patient consent or doctor approval is dangerous and wrong, even if you believe that he is improving.
What treatment or therapy is he undergoing otherwise? I would continue with that route.
Where are you getting this Risperdal from? Has he been considered for inpatient treatment?

The risperdal was prescribed by his Psyciatrist. He stays home all day and sometimes go for a walk to the park. He does not go to school or work. I stay also home to look after him

He refuse to go see any doctor or getting therapy as he says "im fine i dont need anything".

Look I'm not a doctor but I have bipolar one. I've had it for 20 years plus. I am extremely delusional and psychotic a lot. For me I have to permanently be on a antipsychotic. Seroquel should mellow him out. Mood stabilizers don't do $#%^ for me. You should really see a doctor. But for my delusions antipsychotics work. Delusions are part of psychosis. Risperdal is okay. But in my experience Seroquel has been the best for me. When I'm delusional I don't seek help either. The reason it is called being delusional is he believes in his mind everything is real. That's why when you're delusional nobody seaks out treatment. they think they're fine. they believe everything they're saying or thinking. Once he stabilizes he will realize how he was delusional trust me. Happens to me all the time. Give it a little bit of time and when he comes to he will realize how messed up his thinking really was. Being that you guys caught it young at his age he might fully recover with medication. And never have another episode. I knew a guy like this. It happened one time. Never happened to him again. But I have bipolar so it never goes away.

user76290 wrote:Look I'm not a doctor but I have bipolar one. I've had it for 20 years plus. I am extremely delusional and psychotic a lot. For me I have to permanently be on a antipsychotic. Seroquel should mellow him out. Mood stabilizers don't do $#%^ for me. You should really see a doctor. But for my delusions antipsychotics work. Delusions are part of psychosis. Risperdal is okay. But in my experience Seroquel has been the best for me. When I'm delusional I don't seek help either. The reason it is called being delusional is he believes in his mind everything is real. That's why when you're delusional nobody seaks out treatment. they think they're fine. they believe everything they're saying or thinking. Once he stabilizes he will realize how he was delusional trust me. Happens to me all the time. Give it a little bit of time and when he comes to he will realize how messed up his thinking really was. Being that you guys caught it young at his age he might fully recover with medication. And never have another episode. I knew a guy like this. It happened one time. Never happened to him again. But I have bipolar so it never goes away.

Very helpful thank you. I hope your disorder vanishes away very soon take care

The psychiatrist prescribed today Rivotril 0.5mg for 5 days to take with Risperidone and and stop Risperidone. He will do a injection Invega Sustena once a month

he is currently calm he does a few activity sometimes

Is this a good idea to stop Risperidone and start new medication?

I was thinking to taper Risperidone off him slowly and see if he can go on life without medication

I have dd and I was on Risperdal and it did help. I now take Loxapine and Klonopin and I am delusion free. Therapy helps a lot too because he needs to talk about what is going on in his head. If he finds out you are spiking him he may become mistrustful of you be careful. He needs to come to the realization that there is a problem and that is not easy for people with this disorder. Keep him on whatever is working but try and get him into therapy too!

Good luck

These past weeks i have noticed his right leg shaking nonstop and hand fingers moving. I took him to see another psychiatrist and he said to stop Risperidone and start Olanzapine.

What is the best way to do this switch? His currently taking 2mg risperidone oral and they prescribed him 10mg zyprexa tablet to start