A patient of mine has a mentally ill brother who's depressed and anxious, as well as manipulative and stubborn. He often refuses to take medication that's helped him in the past and as a result often ends up lying at home in his bed, unwashed and unkempt, for days at a time. When my friend discovers him in this state, she tries various things: taking him to the ER (which she's learned leads nowhere), contacting his therapist (which sometimes helps, sometimes not), and even wa