Well, the good news is son has an appointment tomorrow for an assessment at the Intensive Outpatient Program. We sat down Friday afternoon together and made the call. Due to his introverted nature, he will almost never make the first call. We and his therapist have been trying for weeks to get him to make that call. I finally decided that if he needed me to be by his side to do it, so be it. His therapist was fine with that. I told him in the morning we would place the call together in the afternoon. Of course, he wasn't home when I came in but he did show up at 4:30pm after I texted and called him. I could tell from the moment he walked in he was high on something but we made the call and he willingly accepted an appointment for Monday. Yea! The bad news is he has been smoking weed for a least the last month. Friday night was yet another one of those 'scary - he could have died' episodes. He went outside to his car Friday night for several hours. I finally walked out and saw that he had a bottle of Vyvanse in the passenger seat. I had asked him earlier if he had picked up his rx's (he's suppose to give them to me to lock in safe) and he lied and said no. He was with me from then on until the pharmacy closed, so he had to have gotten them earlier. He came in for a while, said he had spilled the Vyvanse bottle in the car and would bring it in in the morning and then went back out to his car. At 2am, I disconnected his cell phone (because he was blasting through our cell data, texting and being on the internet) and he came back in for the night. He was obviously very high on something at this point but was walking and talking okay. I could hear he was up all night (because I was too!) At 9am, I went to wake him up because he had promised my husband he would help out at his Grandmother's. He woke instantly but was very confused and acting strangely. He came down stairs and started opening and closing the microwave door over and over and then started opening the blinds over and over and then back to the microwave. He just kept saying he was opening the microwave. He did seem to get better after a brief period - still very 'foggy' but he willing went to his grandmother's with my husband. He didn't take his phone because he was too confused to remember when it was (on the kitchen table). I searched his car and found the Vyvanse rx with 21 pills missing! Also found the weed and pipe. An easy search on his phone revealed when he contacted his dealer and where he picked up the weed. Multiple contacts/ pickups over the last month. Not sure how he is paying for this - I suspect he has a credit card tied to his checking account and is allowing it to go into overdraft. So, he reached out to his dealer again last night - dealer hasn't responded so far but there is no more denying he has a drug addiction, even if he can turn the using on and off for extended periods of time, seemingly at will. Seeing all the pieces laid out in front of me makes it more real than ever. I have somewhat of a hard time telling when he's high but I'm getting better at it. He evidently has a super high tolerance for alcohol and drugs (even prescription drugs). This isn't the first time he has taken mega-doses of a substance. He did it numerous times on his sleep medication (resulting in two ER trips with 4 months) and then an episode of taking a large amount of xanax, wine and 2 bottles of robitussin last summer. Now he's taking large doses of a stimulant! Seems like once he gets started, he has no 'off' button. And, evidently, to him a high is a high whether it is an upper or a downer. Why someone with anxiety would take 10x times the prescribed dose of a stimulant is mind-boggling. We'll see how he responds to the intensive outpatient program. They do screen for drugs. I'm not sure if he realizes that. As I contemplated ordering yet another book on drug abuse this morning, I realized I'm the only one with a dog in this fight. He's being 'made' to attend the program, husband just wants him out of the house and I'm the one frantically running around trying to 'fix' him. I saw a counselor a few weeks ago through our company's employee assistance program. She wholeheartedly supported my step-wise approach to enforcing escalating consequences. This would start with taking away his phone and internet access to locking him out of his room during the day to locking him out of the house during the day to eventually eviction from our house. Of course, my hope is that he will turn it around before reaching the eviction stage. I don't know if I'm strong enough to pull that trigger but I can't sit here and watch him destroy himself. If he can't help but destroy his life and/or risk accidental death I don't want a front row seat.