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Please help!! Mentally retarded brother with anger problems

I have a brother who has been diagnosed with borderline intelligence disorder and also personality disorder.
He is 44 yrs of age. Suffering is mainly emotional in nature, tends to speak to self loudly. Mostly these are mental dialogues within him. On observation it was found that these are about the incidents of the past or imaginary situations where he can express his thoughts. Sometimes these are angry mutterings and sometimes happy ones. He is usually oblivious to the fact that there are people around him or others may feel disturbed because of his muttering. It seems he releases anger in such mental dialogues with others, with whom he can’t do it in reality. Keeps brooding about the past.
As a child he has faced a lot of pain and has been bullied too due his low intelligence. He could not complete his education and currently works in a special school. However, this is more of a compassion posting as he doesn’t do much productive work. He is extremely slow in going about the work or daily routine and doesn’t follow strict timelines. While he is Moody and tends to get angry when things don’t go according to his expectation, he is also extremely peaceful at times, typically when he is doing his pooja, or meditation.
Has an extremely sharp memory and remembers details like names and dates very well even after many years. Lazy towards personal hygiene. He keeps his room also messed up. Likes to collect things which are considered trash such as thrown away bus tickets, pamphlets, icecream sticks etc.
Gazes in a way which makes you think, he is looking beyond or sometimes may be considered as staring. While talking, Keeps shaking his head in a peculiar manner.
Extremely regular with his habits. While it is difficult to get him into a habit pattern, but once developed, is extremely regular.
Even though he talks to self and gets angry easily, still his anger subsides easily and can forgive people once they show repentance or explain the reason for their behaviour.
Both my parents have died and he lives with me and my husband. He loves my husband and treats him like a brother. My relations with him are not too cordial as during our childhood I got more opportunities and he didn’t, that has remained a pain point for him. Also, after my mother’s death in 2000, I had to become strict with him and take charge. But over a period of time, the relations have become a little better.
In the last few years one of our relatives had become very close to him and he treated her like an elder sister. However, it seems to have become an emotional dependence and he tends to get angry if he doesn’t get to talk to her regularly. He also scolds her in his mind. Due to various reasons, she has not been able to talk to him for the last few months and he seems very upset about it. Though in front of us he doesn’t say anything but when alone his angry mutterings indicate that. He usually seeks attention from others around him and if he doesn’t get it then he goes off to his mental world and the angry mutterings start.
Four years back I had reached out to a homeopath with his symptoms and was suggested to give him Lycopodium 200. It helped us at that time but only to a limited extent. He has now started to assert himself and speak about his feelings which earlier he used to totally avoid. But the mutterings continue.
While we have come to love and accept him the way he is it would be great if we can help him to become more peaceful.
  Uempoi on 2018-11-19
This is just a forum. Assume posts are not from medical professionals.
does he feel hot more or cold more ?

drjitesh last year
He tends to feel more hot. . Sometimes even when it is cold around, he seems to need fan. Thirst is lesser.
[Edited by Uempoi on 2018-11-20 01:45:22]
Uempoi last year

drjitesh last year
Ok. Will do and report later
Uempoi last year
Hi Dr. Jitesh,
I gave one dose of Sulphur 30 to my brother, as advised by you. Below is the account of the last 10 days.
Initially his mutterings had reduced significantly. In the mornings he used to talk to himself for sometime, then would be fine. Evenings he used to be peaceful.
Though he has become very slow at his daily chores. Spends a lot of time in brushing, bathing and in the bathroom. Did not stick to timelines. I also noticed a bit of back-answering but it was more or less ok.

Since yesterday evening he has been a little agitated and seems to be muttering a again, though not as loud as before. If we try to engage him in some activity it reduces.

There have been periods in these 10 days of being peaceful even when having to wait at bank etc., which earlier used to be very difficult.

So, there is definitely an improvement.

Do suggest.
Uempoi last year
Repeat the dose no problem
drjitesh last year
Also, One other thing. Last evening he had high fever, we gave paracetamol and are observing. Seems like ordinary flu.
But he is very angry today morning and is muttering again. He also had a headache.

Earlier too this thing has happened that when he is very agitated or overthinking, he tends to have a headache resulting in lack of sleep and that has repercussions on his health. Do you think this too will be cured by this medicine???
Uempoi last year
what was the temp ??
I think you should not have given paracetamol rather you should have given just normal water head sponging to low down the temp

repeat the dose now
if fever comes don't give paracetamol
drjitesh last year
OK...the temp had crossed 102. We had given one dose of dolo 650 yesterday 10 pm and some three doeses of ferrum phos after that.

I gave him sulphur 30 just now. Temp is about 100.5. Should I continue Ferrum Phos in parallel??
[Edited by Uempoi on 2018-12-09 06:51:44]
Uempoi last year
Hello Dr. Jitesh,
I did not give him any more paracetamol or ferrum phos.
The fever has also receded.
But he is complaining of pain in the hands and legs, is that expected?
Uempoi last year
Hello Dr. Jitesh
After my last message, my brother's fever reduced and the body ache and all also disappeared. Since then he has been somewhat peaceful. He did speak about some very old memories too in the last few days. Once in a while he used to mutter but then he would be ok. He seemed thoughtful for the last few days and a lot of pain from the past was coming up.

Since yesterday evening his angry mutterings seems to have started again and he seems visibly agitated.

Would you suggest that I give him another dose or should I wait??
Uempoi last year

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