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LW, I'm possibly a few years behind you, but your situation is where my family's headed if my mother doesn't get help. The central problem - the reason why things aren't getting or going to get any better - is the refusal to seek medical care. I don't know whether this is a particular symptom of paranoiacs or whether people with other kinds of mental illnesses are as resistant to the idea that they are unwell, but the toll that this kind of thing takes on families and individuals is terrible. I second what the other posters have said so far and strongly suggest that you and your sister work on healing your relationship with each other - go to counseling together if you have to - because you can't afford to let this damage your relationship. I wouldn't be surviving my own mother's illness without my brother because while I'm lucky enough to have a lot of emotional support from my partner and friends, he's the only person in the world with the same mother and father and the same childhood, the only person who can ever really know what her being ill means. Tap into the strength that that bond can give you both and help each other get through this.
nn
