Hello doctor. My son had his first acute psychotic episode over two years back. He started behaving very erratically. He had hardly slept in the last two to three days and started behaving very aggressively. He was 22 years old back then and now he is 24 years old. He said he wants to leave our home and blabbered gibberish things. Also he spoke a lot about his past. Whatever hurt him as a kid. From big incidents to the smallest ones like little fights with his friends even from kindergarten days. He was diagnosed with learning disability in his childhood and his IQ was less than normal. We had got him tested when he was a kid. So when two years back he had this episode, we immediately contacted Dr Harish Shetty and then he was hospitalized and given heavy sedatives to make him sleep. Since then he has been on medicines like Qutan, Pacitane, Acculanze, Ativan, Oleanz and Serenade. Over time the doctor kept reducing the dosage of medicines. For the past one year he had been only taking Oleanz, Ativan 2 MG and Pacitane. And he was sleeping properly too, though we think that it was only due to the power of medicines because whenever we didn't give him medicines on time, his sleep would get delayed. For the past one year he had seemingly recovered and was acting very normal. He was not the smartest person but he had gone back to being his original state, the way he was before his episode two years ago. But a week back he had a relapse of this episode and he again had to be hospitalized. He has been given Qutan 100 mg, Oleanz 10 MG, Ativan 2 MG, phenagran 2.5 mg and Pacitane. The chief complain was irrelevant talking, restlessness, uneasiness and lack of sleep. When we give the medicines to him, he has a very terrible headache till the time he falls asleep. He keeps crying and gets extremely irritated and keeps complaining about why this has happened only to him. He is very sensitive and he has trust issues too. We have also started with counseling sessions. He gets angry and he cannot get over his childhood frustrations. We have conducted a MRI test too and his result was absolutely normal. Please help we are willing to do anything possible to help him lead a normal life. Will these episodes keep relapsing? Is there any permanent cure for this disease? Please guide.