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Has childhood schizophrenia, avoids eye contact, lacks concentration. On dicorate. Curable?

Hi Sir, My brother is 25 years old and as per doctor he has had childhood schizophrenia and I have heard them even discussing that he has autism as well. According to my parents he was very fine until 5 years. I remember him hating school when in kindergarten and he was forced to attend school that time. He is at home now and I take care of him. He needs 24 hours attention or else he gets restless and agitated. He is under medication , i.e. Dicorate ER 500 mg b.i.d., Tryhp plus b.i.d, quitipin 100 mg h.s., and Frext 50 mg a.m. As I have observed him, he acts like a 3 to 4-year-old and other than my family at home avoids eye contact with everyone else and lacks concentration in any particular work. I would like to know whether his condition is curable and if so to what degree. And what is the best way to control him when he gets agitated.
Asked On : Mon, 7 Jan 2013
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Psychiatrist 's  Response
Hello and welcome to Healthcare Magic. Thanks for your query.

From whatever little clinical information you have provided, it appears that your brother may be suffering from autism or an autistic spectrum disorder. He also seems to be having a significant level of mental retardation (which is commonly associated with autism) and many behavioural problems.

Childhood schizophrenia is a very rare psychiatric disorder and has a presentation similar to that of autism. In fact, before the clinical entity of "autism" was established, most of the children with these symptoms were termed as childhood schizophrenia. Currently, this trend has changed and children with these symptoms are diagnosed as having autistic disorders.

Unfortunately, both these disorders are not curable and these persons have to be on medication and need additional support throughout their lives. Regarding your brother's agitation, it can be managed with a combination of medication and behavioural therapy.

Wish you all the best.

Dr. Jonas Sundarakumar
Consultant Psychiatrist
Answered: Tue, 8 Jan 2013
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