<s>[INST] i really dont know if its a bipolar disorder or depression running with my brother. he gets really hyperenergitic during such span, lots of anger, no sleep, overeating, delusions. constant moss swings.this is third time he is being suuffering even though the medication is running. please help. he is unable to make a setteld career and life coz of this. [/INST] Hello He is having symptoms like hyperactivity, anger outbursts, decreased sleep (decreased need for sleep), constant mood fluctuations and hyperphagia. These symptoms are most likely due to manic excitement. In some cases of mania Delusions like Grandiosity, Paranoid delusions are also seen. Even on medicines he is showing such symptoms and is not getting relief. I would advise you to take him to his doctor for reevaluation. In acute excitement medicines like haloperidol, olanzapine etc can be used in injectable form. Once his condition gets stabilised then maintainence treatment in form of mood stabilisers can be given.Thanks, hope this helps you </s>