Medication is the only option when the patient is suffering from clear or
even borderline psychotic disorders caused at least in part by biochemical
imbalances in the brain.

One such person is definitely my younger brother whom I am unfortunate
enough to live with. I am virtually certain that he suffers from multiple personality
disorders - essentially overlapping schizoid, paranoid and narcissistic personality disorder.

If I had my way, I would start him immediately on a low dose of one of the
atypical antipsychotics -

Risperidone
Quetiapine
Aripiprazole
Amisulpiride


Or at least one of these older phenothiazines -

CPZ
Thioridazine
Haloperidol
Flupenthixol


This guy is actually a Principal Engineer at Western Digital, earning
close to $ 20,000 a month.

Counselling alone would be a waste of time.






This post has been edited by Tham: Aug 19 2013, 01:13 AM

You could try HUKM. I don't think there is any particularly long waiting time.
Just visit one of the $1 government clinics around town, or any private clinic,
and ask the GP if he can refer you to the psychiatric department there.

This woman in my office has an elder brother who has been referred there
for severe depression, and hospitalized several times in fact. I didn't hear
her saying anything about a long waiting period.

The last I heard, he was on a heavy regimen of at least three drugs - an SSRI
(I think citalopram or escitalopram), a tetracyclic (mirtazapine) and a benzodiazepine.
And he was getting them free, or at very low cost. SSRIs cost a bomb.

Otherwise, if his anxiety is mild to moderate, any GP could prescribe basic drugs
like Ativan, Tranxene, Xanax or low dose of flupenthixol for a start.


There are also quite a few supplements you could try, particularly 5-HTP an
L-theanine, the green tea amino acid.

https://forum.lowyat.net/index.php?showtopi...post&p=61758700


Though there may still be one or two doctors there, the Befrienders are
usually manned by part-time office workers and students who have little
or no training in psychology.



You could try also contacting the Malaysian Mental Health and Psychiatric associations.


http://www.psychiatry-malaysia.org/

www.mentalhealth.org.my