<s>[INST] i have a son living with us for the last 2 years with a history multiple concussions, 37,  chronic pain from unresolved injuries, hx of drug and ETOH abuse, unable to find work (IT). I am having difficulty getting him the mental health care he needs on medicaid. He does not sleep, except when he falls over from exhaustion. He has delusions and mental dullness, does not know what he is doing from day to day and cannot even complete simple tasks like laundry or a phone call. We just relocated to AZ and have limited resources in retirement. Any suggestions? [/INST] Hi there, I have read your query and understand your concern. After reading your history I can say that your son definitely requires psychological intervention. Repeated and multiple concussions can lead to a psychosis and requires low dose antipsychotics. For sleep, he can be started on diazepam which will give him good sleep. If I were your psychiatrist I would have started him on risperidone 1 mg and diazepam 5 mg </s>