Hi Hal,
Thanks for the welcome and the encouragement. No he hasn't being seeing a therapist for long at all, he's had about three appointments and missed his last scheduled one because he was too anxious to attend.
Yes, us as a family think it's a good idea to consider medication, unfortunately my brother seems to be very anti medication. He is hesitant to even open up a dialogue about it and just repeats he is fine. I think it plays into one of his fears about being hospitalised and categorised as insane, a narcissist or a psychopath. He considers medication as a downward slope. Obviously this should be his decision but it's really difficult watching him suffer. Currently and for the past few days he isn't leaving the house, eating or sleeping much and is almost in a constant paranoid phase of thinking something in his house is going to put him in the hospital. We can't encourage him to go for walks or to come back and stay with my parents for a bit.
I'm not sure what the next best step is to do?