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Hello there,
First of all it is great that you take care of your brother in such way and it is even more commendable how much you are interested to help him in any way you can.
Usually paranoia has it cause and treatment is usually focused on finding out that cause. This can be very long process and your doctor is going to inform you about it before he starts with psychotherapy.
You and your brother will have to be very patient and sometimes he will be impossible to cooperate.
Also try to talk with the therapist about the medications he will prescribe because sometimes side effects can be very nasty. Choose the best ones for your brother case and good luck.
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