I'm sorry to hear about your brother. It does sound like he has a problem, however worrying will only do you harm and won't help him. He has to realize he has a problem and want help. I would suggest that you use the Serenity Prayer to help you deal with the issue.
God grant me the serenity
to accept the things I cannot change;
courage to change the things I can;
and wisdom to know the difference.
I have found this to be very helpful in reminding myself of the things I can do and that I can't do. My dad was an alcoholic, so I know it is not easy to watch someone go down this path.
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Bipolar I, Depression, GAD Meds: Zoloft, Zyprexa, Ritalin
"Each morning we are born again. What we do today is what matters most." -Buddha