My 20 yrs old brother having mood fluctualtions and always thinks himself as the best in world. He drinks and smokes. We r from normal middl class family, but he blackmails and forced us to buy him a car and he has lot of expenditure. He does lota of tantrums. And sudden mood flutuations. At times he talks sense but always make others feel down, specially parents. Please can somebody help.

Dr. Shreyas PendharkarPsychiatrist9yrs exp

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Hello, thanks for the query. It is indeed difficult to put up with a temperamental family member & I understand your difficulty. You mentioned he took some antimanic drug, can you tell its name, dosage & why he is no longer taking it? your brother needs psychiatrist consultation for sure to ascertain whether these mood swings are due to some mental illness (bipolar disorder, schizophrenia) or they form his personality style (known as cluster b personality traits) so that he can receive proper help accordingly. Good luck. 

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