My brother's behavior outbursts are puzzling the entire family. Can you help?

Q. My brother's behavior outbursts are puzzling the entire family. Can you help?

Answered by
Dr. Vishal Anilkumar Gandhi
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on May 17, 2018 and last reviewed on: Aug 31, 2023

Hi doctor,

I am 23 and the oldest of thirteen kids. My little brother, who is 15 years old, has struggled with depression and is suicidal, or so he claims. He has always been normal around me, and I have never seen any signs of this, but I moved out about five years ago. He once took a knife and held it in front of his wrists, but he has been doing all kinds of things, and a family advisor said he was being manipulative and bluffing and to call him out on it. So, my mom did so and said go ahead and kill yourself, but just know the hurt you will cause and you will end up in hell. He then dropped the knife and did not do anything. Recently, things have been getting out of control. He had crashed the family suburban, taken a handful of Ibuprofen pills, threatened to kill himself, and attacked my mom when she said he could not go out with his friends. When the cop came, he started swearing at him, trying to get arrested, which the cop would not do. It got worse until the cop came back and took him away to a correctional facility. My mom said he has wanted to go to a boy’s home since he was about in fourth grade, and the doctors say he does not have bipolar, but he just hates authority and cannot take no for an answer when he wants to hang out with friends or have a smartphone. At work and school, he has been fine, and people love him, but he has sudden outbursts that are just puzzling. My question is, why would he want to go to a boy’s home/correctional facility? This makes absolutely no sense to anyone in the family. The family has no history of anyone having gotten in trouble which makes it all the more strange. Any input on this is appreciated.



Welcome to

Your brother seems to be suffering from a personality disorder. The symptoms or behavior that you mentioned above are more likely to be cluster B personality. Your brother has more borderline personality with overlapping antisocial personality traits. People in cluster B are more manipulative and go to any limits to fulfill their wishes. They are very emotional too. But, they have a sudden splitting for other person's behavior. They do not like to follow society's norms and rules. They have self-inflicted behavior. So, due to his personality disorder, he wants to go to a boys' home. There is a high chance for him to get addicted to substance use in the future. Hope you got your answer.

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