Sibling Dynamics: Is My Brother Struggling with Mental Health? - Psychiatry

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Family interaction issues - Does the older brother have mental health problems?


My parents did not manage their emotions well during my upbringing, but it was mostly limited to verbal expressions without any tendencies toward violence.
My brother mentioned that when I was one year old and he was three, I would wake up crying at night, which disturbed our father and led to him getting punished, so he has disliked both me and our dad since childhood.
In elementary school, when playing at relatives' homes, many of the children my age did not particularly like my brother because he had a more selfish personality or would do things that made other kids uncomfortable (perhaps he was trying to fit in).
However, the adults would always scold my brother harshly.
When we went on trips and played together, he would sometimes join in but also spend time alone with his toys in the car.
Many photos show me with other kids, but not with my brother.
At that time, it seemed like he was enjoying himself too.
He mentioned that he was not liked at school for a period because he would often report on others.
Around third or fourth grade, he experienced involuntary blinking similar to Tourette syndrome and would sometimes have accidents in his pants.
After being corrected or scolded, he eventually improved, and he reflected that he was very anxious as a child.
I was not a dominant person growing up, but when his demands were unreasonable, I would not get angry but simply ignore him, which made him dislike me even more.
I did not have much trouble with interpersonal interactions; my only childhood concern was that my brother often made me uncomfortable.

Since middle school, after my brother entered puberty and developed a stronger sense of self, the family atmosphere has been filled with constant arguments.
He grew up being scolded and became someone who often yelled at our parents.
Although he frequently had many insights he wanted to share with the family, he would become very angry if we did not meet his expectations.
We rarely argued at that time, but he would often mock me, and I would just laugh it off.
During that period, he would occasionally take care of me.
Starting in middle school, he only wanted to talk to our mother, believing that she was the only one who somewhat understood his dissatisfaction.
Our academic performance was similar throughout high school, but after the college entrance exams, I did better, which led to even more mockery from him, possibly as a way to maintain his self-esteem.
Gradually, I could no longer accept his comments.
For example, during special occasions when friends and relatives visited our home, he would tell his friends that I was a social outcast at school (even though I had my own friends) and would encourage them to persuade me to drink alcohol.
I later ran to the bathroom to cry and did not return.
My parents defended me, which led to a huge argument with my brother, and no one could change his perception of me.
From then on, he defined me as the embarrassing sister, and every time we met, he would only insult me; in any disputes, he would constantly complain to our mother to judge me, making communication and resolution impossible.

When we went out with relatives, he would repeatedly tell our mother how terrible I was, trying to exclude me from participating, even though the relatives did not think I had done anything wrong.
My father would be scolded by him for no reason, while my mother was the only person he was willing to interact with, but she could also be scolded if she made a mistake.
He has very high expectations of others but does not hold himself to the same standards, and no one can communicate with him.
Living with him creates a lot of pressure for everyone.
My relationship with my parents is not too bad, but I would only go home after confirming that my brother was away on a business trip, and I rarely returned home.
I want to know if there is something wrong with my brother or if he simply has a bad personality.
In fact, after spending a long time with him, my self-esteem has been very low.
Even though I have a decent job in society and often receive more affirmation from people outside than from my family, I gradually found my confidence after leaving home.

Yuan Yuan, 20~29 year old female. Ask Date: 2021/07/17

Dr. Wang Zhenbang reply Psychiatry


Hello, based on your description, here are a few points to consider: 1.
The diagnostic range for mental disorders is quite broad, and it requires evaluation from multiple perspectives to determine if diagnostic criteria are met.
One important criterion is whether the individual's symptoms affect their daily functioning or work capabilities.
2.
Regarding your brother, it would be helpful to know if his symptoms have impacted his work situation.
Additionally, are his symptoms consistent, or do they fluctuate periodically? If his work and daily functioning are unaffected and this has been his baseline, it would be challenging to diagnose a significant mental disorder.
However, this does not mean there are no issues; as you mentioned, he may simply have a difficult personality, which is a common explanation.
3.
I suggest discussing your observations with your family, such as talking to your brother about the behaviors that make you uncomfortable in your interactions with him.
This might provide him an opportunity to recognize any inappropriate behaviors and make self-corrections.
Wishing you peace.

Reply Date: 2021/07/17

More Info


Based on your detailed description of your brother's behavior and your family dynamics, it seems that your brother may be struggling with some underlying mental health issues, possibly exacerbated by the family environment and his early experiences. Here are some insights and considerations regarding his situation.

1. Childhood Experiences and Emotional Development: Your brother's negative experiences during childhood, such as being punished for circumstances beyond his control (like your crying), could have contributed to his current emotional state. Children who experience inconsistent parenting or emotional neglect may develop difficulties in emotional regulation and interpersonal relationships. His feelings of resentment towards you and your father might stem from these early experiences, leading to a pattern of anger and frustration that he expresses towards family members.

2. Social Interactions and Self-Perception: It appears that your brother has faced challenges in social situations, as indicated by his interactions with peers and adults. His tendency to be perceived as selfish or to engage in behaviors that others find uncomfortable could suggest difficulties in understanding social cues or empathy. This might be linked to traits associated with conditions like Asperger's syndrome or other social communication disorders. His self-reported nervousness and the involuntary tics you mentioned could also indicate underlying anxiety or stress.

3. Adolescent Development and Family Dynamics: The transition into adolescence often brings about significant changes in self-identity and relationships. Your brother's shift in behavior during this period, including increased conflict with parents and a preference for communicating with your mother, may reflect a struggle for autonomy and understanding within the family unit. The fact that he often resorts to criticism and anger when his expectations are not met suggests a possible inability to cope with disappointment or frustration.

4. Impact on Family Relationships: The ongoing tension and conflict within the family, particularly between your brother and your parents, can create a toxic environment that affects everyone’s mental health. His high expectations of others, coupled with a lack of self-awareness regarding his own behavior, can lead to feelings of resentment and isolation among family members. It’s important to recognize that while he may be projecting his frustrations onto you and your parents, these behaviors often stem from his own struggles.

5. Seeking Professional Help: Given the complexity of your brother's behavior and its impact on family dynamics, it may be beneficial for him to seek professional help. A mental health professional can provide a comprehensive assessment and help identify any underlying conditions that may be contributing to his difficulties. Therapy could also offer him tools to improve his emotional regulation and interpersonal skills, which could lead to healthier family interactions.

6. Communication and Boundaries: As a sibling, it’s important to establish boundaries that protect your own mental health. Engaging in open and honest communication with your brother about how his behavior affects you may help him gain insight into his actions. However, be prepared for resistance, as individuals struggling with mental health issues may not always be receptive to feedback.

7. Building Self-Esteem: It’s commendable that you have found validation and confidence outside of your family. Continue to nurture these positive relationships and experiences, as they can help bolster your self-esteem. Engaging in activities that you enjoy and that affirm your worth can further strengthen your resilience against your brother's negativity.

In conclusion, while your brother may exhibit challenging behaviors that could be indicative of mental health struggles, it’s essential to approach the situation with empathy and understanding. Encouraging him to seek help and fostering open communication within the family can pave the way for healing and improved relationships. Remember to prioritize your own mental health as you navigate these complex family dynamics.

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