My husband and I decided to try one last time to get my son some help. I found an excellent psychologist who is covered in our medical plan. He specializes in the problems that my son has exhibited. We had a session with him and explained the last 2 years of downslide. We told the doctor that this was the last chance or our son would be told to move out. My son (soon to be 21) purposely avoids us. I was able to make an appointment for him for early next week. I literally could not get my son to stay home long enough for the three of us to talk. Finally, we resorted to typing up a letter laying out the two choices he has: 1) go to appointment with doctor or 2) move out. Told son by text that letter waiting for him on his bed. He came home for about 20 minutes between work shifts and disappeared after a quick shower. The letter was gone from his room when he left. Sadly, we fully expect him to reject this last chance. He is in full denial that his life is a mess. I am bracing myself for the inevitable eviction day....I hope we won't need to involve the police. I don't feel like this is "tough love" ....just complete love. I can no longer support or be a witness to his spiraling life choices.