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19 year-old in crisis
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<blockquote data-quote="Copabanana" data-source="post: 759594" data-attributes="member: 18958"><p>Welcome. It seems to me you took the only road open to you. What a difficult and sad situation. I have a question or two. When he is stable does he have insight into his situation? Which is to ask, does he recognize that he is at risk if he uses marijuana or other drugs, of triggering psychosis? Have you spoken to him about psychosis? That what happens to him is a severe mental illness? Delusions and hallucinations are a thought disorder. He may be self-medicating through the drugs. This is a vicious circle, as you well know. If he keeps refusing medication this vicious circle will continue, I fear.</p><p></p><p>I think you are wise to set boundaries. The boundaries will help him as well as the family. He needs to know that he has responsibilities to accept treatment and that mental illness is no justification to act badly, to hurt himself and others. He needs to understand that if he does not accept responsibility for his condition this will limit his access in many ways, and the kinds of support you can give him because he will be intolerable to be around and because he is shown to be fundamentally irresponsible without treatment.</p><p></p><p>All of this is easier said than done. Many of us, if not all, deal with some version of this story. It's impossibly difficult to see them so vulnerable and suffering. In your case, it's cut and dried, with the other children at home. They just can't be exposed to this repeatedly. Your responsibility is to them.</p><p></p><p>All of which you understand, I know. It's only to reinforce that I believe you are doing the only thing you can. I am so sorry you are going through this hard, hard thing.</p><p></p><p>It' is not entirely clear to me if the mental illness is primary or an artifact of drug use. He may be using way heavier drugs than you are aware and the hallucinations and delusions are coming from that. Even if people stop, the drug-induced psychosis persists. It usually goes away in time, but effects can linger. </p><p></p><p>What I am saying is that 3 possibilities are in play: the drugs precipitated a latent mental illness to which he was predisposed; he became mentally ill and began to use drugs to self-medicate; or it's purely the drugs--that the drugs are inducing a mental illness that is entirely precipitated by them. In every one of these cases continued drug use, as you know, is a huge mistake. He's got to get help with the drugs. I agree with Nomad. Even Narcotics Anonymous would be a huge help.</p><p></p><p>But you can't do this for him. He's got to figure it out on his own if he won't listen. That's the hardest part of this. Letting them do it. Or not.</p></blockquote><p></p>
[QUOTE="Copabanana, post: 759594, member: 18958"] Welcome. It seems to me you took the only road open to you. What a difficult and sad situation. I have a question or two. When he is stable does he have insight into his situation? Which is to ask, does he recognize that he is at risk if he uses marijuana or other drugs, of triggering psychosis? Have you spoken to him about psychosis? That what happens to him is a severe mental illness? Delusions and hallucinations are a thought disorder. He may be self-medicating through the drugs. This is a vicious circle, as you well know. If he keeps refusing medication this vicious circle will continue, I fear. I think you are wise to set boundaries. The boundaries will help him as well as the family. He needs to know that he has responsibilities to accept treatment and that mental illness is no justification to act badly, to hurt himself and others. He needs to understand that if he does not accept responsibility for his condition this will limit his access in many ways, and the kinds of support you can give him because he will be intolerable to be around and because he is shown to be fundamentally irresponsible without treatment. All of this is easier said than done. Many of us, if not all, deal with some version of this story. It's impossibly difficult to see them so vulnerable and suffering. In your case, it's cut and dried, with the other children at home. They just can't be exposed to this repeatedly. Your responsibility is to them. All of which you understand, I know. It's only to reinforce that I believe you are doing the only thing you can. I am so sorry you are going through this hard, hard thing. It' is not entirely clear to me if the mental illness is primary or an artifact of drug use. He may be using way heavier drugs than you are aware and the hallucinations and delusions are coming from that. Even if people stop, the drug-induced psychosis persists. It usually goes away in time, but effects can linger. What I am saying is that 3 possibilities are in play: the drugs precipitated a latent mental illness to which he was predisposed; he became mentally ill and began to use drugs to self-medicate; or it's purely the drugs--that the drugs are inducing a mental illness that is entirely precipitated by them. In every one of these cases continued drug use, as you know, is a huge mistake. He's got to get help with the drugs. I agree with Nomad. Even Narcotics Anonymous would be a huge help. But you can't do this for him. He's got to figure it out on his own if he won't listen. That's the hardest part of this. Letting them do it. Or not. [/QUOTE]
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