My cousin who is 58 year old male is having certain signs of physic whcih needs treatment:1. His sister is totally mentally sick and she refuses to take medicines. I feel this sickness is  in the family , that means it is hereditary. They have another two brothers which also have light signs of this ailment. 2. This cousin to whom  am referrring gets irritated for little things. But he does all the work well but he gets some sound which remains in his memory and haunts him all the time those illusions. I am trying to give him Parocen 25 mgs , one per day for 6 months and than reduce it to 12.5 mgs. With this treatment I feel he should be given  a tranquilizer of 1 mg and again reduce to half.at night. 3. I would like to know whether there will be any side effect or any other treatment is suggested?Kindly give me your feedback Doctor.Stephen Dias, Goa YYYY@YYYY
Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are concerned about your brothers psychological problems. From the limited information that you have provided it is not possible to pinpoint a definitive diagnosis. A detailed history and proper psychological assessment is necessary for this. Regarding the medication that he is on - Proven (Paroxetine) is an anti-depressant medication and Located (Clonazepam) is a sedative / antianxiety medication. Without confirming the diagnosis, it is not possible to say whether this medication are appropriate for him or not. I'm not sure if he has been seen by a doctor and then prescribed this medication. If not, please take him to a psychiatrist for a detailed evaluation and further treatment. Wish you all the best.