my 54 year old brother has recently started hearing voices that are threatening his well being. He has also began laughing out loud for no reason and displaying extreme paranoia. I have tried to get him to seek help but he refuses. He is also responding verbally to the voices. What can I do to seek help for him?
in  my  opinion  since  he  has    auditory  hallucinations   it  is  important   to  rule  out   electrolyte  disturbances  like  sodium ,  potassium  ,  also  to  make  sure  blood  sugars  are  normal  ,  blood  lipids,  ec  gthen  small dose  of  drugs  like  quinidine    can  be  started