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Mental health

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What help can be given when a young person 'disengages'

37 replies

Lightuptheroom · 09/02/2020 16:11

24 year old, attempted suicide over 18 months ago. Had a total of 4 appointments with a community mental health nurse, recommended self help, 30 mg citalopram.
Then completely disengaged, doesn't take the medication, GP doesn't seem to follow up at all. Lives in a bedroom which involves crawling over feet deep of rubbish to get in and out, threatens suicide and walks out the door every time asked to do any clearing up of any kind, threatens suicide if we offer to clear the room up. The room stinks as does the person. We keep being told they are an adult by every organisation we've made contact with to try and find assistance. He's supposed to have some kind of talking therapy but won't go to the appointments, won't go outside other than in the early hours of the morning (1am for instance) However, will go out and do niche hobby with friends (gaming based) often for days or weeks at a time, be up all night and then sleep constantly when back at home. Is reliant on universal credit, we can't see how he could access accomodation of his own or even be able to live on his own. If we don't provie food, he eats pot noodles and drinks energy drinks. He leaves his washing on the kitchen floor. Cutlery and crockery come down every so often as far as the sink. There is the ever present threat of commuting suicide if hes asked to do anything - how do we get past this fear?
It seems so sad that at 24 all he feels able to do is sleep. Who can we ask for assistance. Not allowed to attend GP appointments with him as he won't give permission.

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inchoccyheaven · 18/02/2020 07:32

It is incredibly difficult especially if they are resistant to help. My ds has tried cbt and counselling before meds but didn't feel it helped at all and resources are few and far between. Unfortunately they have to want to help themselves and when they feel useless and what's the point when even the smallest task is an effort then i don't know how this changes.
My ds is lovely
although still not able to participate in real life much but going through earlier teen years with him was very hard and I wish I had known earlier that he was struggling rather than being a stroppy teen.

CallMeRachel · 18/02/2020 08:36

A pet may help him. Having something to care for and get unconditional love and affection from can work wonders for mental health.

If it relies on him to feed it and look after it it may slowly bring him back to normality.

It's not easy though, this situation is really tough on you all.

Lightuptheroom · 18/02/2020 15:50

We're trying with the pet idea, though so far he's ignored her and it seems like it requires energy he doesn't have, though she is still very affectionate to him when he does appear

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Lightuptheroom · 19/02/2020 21:24

Well, he's ended up in A&E, not because of the depression. He contacted his dad saying he was in a lot of pain and couldn't move, we have no idea what it's all about, he said he needed 'more than a dr' He's been saying that he has back pain for over a month, won't take painkillers and won't make a gp appointment (same pattern as usual) We're supposed to be going away tomorrow until Sunday, just what am I supposed to do with this level of manipulation? (which I know sounds awful, but the next thing will be DH won't want to leave him on his own

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PenelopeFlintstone · 20/02/2020 19:59

What did they say at A&E? Feel for you, by the way Flowers

Lightuptheroom · 20/02/2020 20:57

Has done something to his back, they discharged him with high strength painkillers, told him to see GP. GP prescribed more painkillers, which may interact badly with the antidepressants (not sure why they would do that!) and he's been told to exercise and told he needs to look after himself better. We ended up leaving home 4 hours late but at least we are away.

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LooseleafTea · 20/02/2020 23:24

The gaming would really worry me as it seems to be offering him a place to feel validated and happy at complete cost to his ‘real’ life ; I have a family member who is similar and we never see him and he is unemployed and never does anything and there seems no easy answer how to bring positives into their lives. I wish I had an answer as it sounds so difficult and complex a situation.
Are there any things he likes doing you can do together to try and ‘reach’ him ? I do this with our teen but know it’s a different age, but show strong interest in their interests as it keeps us close and connected and able to talk and bond!

Lightuptheroom · 21/02/2020 12:22

His dad manages to do things with him, but it's very much on his terms, ie if he wants transport etc

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CallMeRachel · 21/02/2020 12:46

I don't mean to alarm you but is there a possibility that he has faked his injury to try and prevent you and his dad going away?

Also I'd be concerned about him being given strong painkillers, given his mindset.

Is there someone at home to support him while you're both away?

Lightuptheroom · 21/02/2020 13:52

CallmeRachel, very strong possibility, which is why we've come away.

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Lightuptheroom · 22/03/2020 15:13

The current situation now means he feels validated in doing absolutely nothing. His room looks like something out of those hoarding programmes and he is simply refusing to do anything about it. I'm now around it 24/7 which as you can imagine is very very difficult.

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Lightuptheroom · 22/03/2020 15:23

He's completed the assessment form for his benefits. It's an interesting insight into how he views himself, but bears absolutely no relation to the person we live with who does what he likes when he likes. According to him the back injury means he can't walk!

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