Sorry to hear about your brother's difficulties.
If these difficulties are long standing, it would suggest some underlying psychological/personality issues. He would need a thorough psychiatrist assessment, if you think, his life is affected significantly.
Best wishes.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Mental Health
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