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‘The very budding doctor part of me is thinking, OK, so when somebody has something that’s wrong, we start thinking about why. What is it? What could it be?’

Growing up, Jamie Shandro was interested in science, while her younger brother, Tim, liked art. When they were in their twenties, they both landed in Seattle: Jamie for medical school and Tim for art school. They were closer than ever. But as Jamie was finishing up a rotation in psychiatry, Tim started behaving strangely.

In this episode of Modern Love, Jamie tells the story of the frightening onset of her little brother’s mental illness and the parts of his personality and creativity that remain. Plus, she talks about how helping Tim has shaped her, as a person, and a doctor.

This episode is adapted from Jamie Shandro’s 2025 essay My Brother Has Schizophrenia. This Is How I Love Him.

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Links to transcripts of episodes generally appear on these pages within a week.

“Modern Love” is hosted by Anna Martin and produced by Reva Goldberg, Emily Lang, Davis Land, Amy Pearl and Sara Curtis. The show is edited by Lynn Levy and Jen Poyant, our executive producer. Production management is by Christina Djossa. The show is mixed by Daniel Ramirez and recorded by Maddy Masiello and Nick Pitman. It features original music by Dan Powell and Marion Lozano. Our theme music is by Dan Powell.

Special thanks to Daniel Jones, Miya Lee, Larissa Anderson, Dahlia Haddad, Lisa Tobin, Brooke Minters, Felice León, Dave Mayers, Eddie Costas, Sawyer Roque, Sophie Erickson, Mariya Abdulkaf, Mark Zemel, Pat Gunther, Mahima Chablani, Nell Gallogly, Jeffrey Miranda, Isabella Anderson, Christine Nguyen, Reyna Desai, Jordan Cohen, Victoria Kim, Nina Lassam and Julia Simon.

Thoughts? Email us at modernlovepodcast@nytimes.com.

Want more from Modern Love? Read past stories. Watch the TV series and sign up for the newsletter. We also have swag at the NYT Store and two books, “Modern Love: True Stories of Love, Loss and Redemption” and “Tiny Love Stories: True Tales of Love in 100 Words or Less.”