JenKat, My pdoc has given me meds that help considerably with my symptoms. But, really, it is up to me to want to get better and to do the things I need to do to organize my life. There are many little things I do—I use a day planner, make todo lists, eliminate distractions, try to focus on one task at a time—those are all things that can help me. Before I was treated with meds and started being proactive about my recovery, I did everything I could to not go to work, just like your brother does not go to school. I had severe depression and low self esteem because I felt like such a failure. I was convinced I was the laziest person in the world. But, my symptoms have improves drastically since I started addressing my ADD. It all comes down to me doing what I need to do to take care of myself—nobody else can do it for me. I don’t know how to get your brother help. The first stop for me was a psychiatrist who helped me with meds and a therapist who helped me with my self esteem. If your brother has not read a book about adult ADD, get him one. I learned a great deal from reading. It also made me feel a whole lot more normal when I understood that it was the ADD that caused my problems, not some internal defect.