Hello, I am Rafael. Thanks for asking your question - I'm here to support you. (Information posted here is not private or confidential but public).
I am very sorry to know about this situation.
Reading your message it is very frustrating to know you have not got any psychiatrist to see your brother for all this long.
I just wanted to say the scenario you depict is very serious, once you describe a young adult who is not physically nor mentally disable but who suffers of anxiety disorder with agoraphobia, obesity, and who has been living for long period of time mainly doing no productive activity at all but basically playing xbox.
Any anxiety disorder requires of psychological treatment. Psychiatric drugs could some times help numbing anxiety plus causing multiple side effects and numbing psychological processes, but such drugs cannot change the anxiety nor the core issues causing and reinforcing it, for that only concrete work on himself, psychologically, emotionally and improving his life at multiple levels is what would provide real chances for rehabilitation, otherwise it would be hopeless.
Does it make sense?
Hello and thank you for your response.
I do a have a question regarding the codependency, what would some of these be? Would this be him living at home getting meals from us, us picking up food for him? How far do these go? What should myself, my mom, all of us be doing for him and what shouldn't we be doing? I don't want to be a cause to this issue, but at the same time I don't want to see him not have something he needs.
Have a great day.
Can you recommend an online source for counseling online? My brother is very smart and turns and twists what someone says in every possible way. He thinks he can truly treat himself.
Do you do counseling online?
Have a great day and thank you for all your time.
Have a nice day.
Thank you very much for your responses
How can we contact you to chat online with him? Possible skype? He's truly looking for a voice chat on Skype if you do them. So far we called all local mental hospitals, local mental clinics and none of them send anyone out, however. We came up with the idea to call SSI and ask for a new evaluation so it forces a psychiatrist to come back out to the house and maybe they can diagnose him and give him some meds. Even if they tell him the meds, we have a local doctor that said he will write them for him if a psychiatrist tells him which ones to write. So I guess this is a start if it works out.
He is still going to need to talk with someone like yourself to get better. There are things I don't even know that goes on with him that he won't even talk about, because he said I may start to think that way myself. So maybe he would talk to you about them I hope.