An update? Okay, you asked for it... :crazy:
Well, on the upside, he's still employed at his new job, he's still doing well in school, and he's not breaking curfew hardly at all (nobody's perfect). He's also stopped hanging around with most of his pothead friends, and he's been "healthy" for several weeks now.
On the downside, though, now that he's healthy he spends a lot of time with the one pothead friend he has left. And yep, you guessed it, comes home stoned every time he's out with the kid. This week alone, he came home stoned Monday and Tuesday. So it's almost like now he's "healthy", he can go back to his old ways.
It's pretty sad, because all the times he was sick (and off the pot) he was a wonderful person to be around. Funny, smart, started reading/playing guitar/interacting with the family, etc.. All the things you'd normally expect from a teenager. Since he's started back using again, he's become more withdrawn, is hardly ever home, when he is home it's just to eat, poop, and sleep, and is generally morose and a drag to be around.
Talked with his therapist about this, and we both feel that he's accomplished as much "good" as is possible without going after the substance abuse. At this point, any further "treatment" is simply to keep him from slipping backwards, but isn't helping him go forward any more.
The other day, I heard a radio segment about a new federal study running in our area that's examining the relationship between untreated ADHD and substance abuse in teens. It isn't a medical trial to test new medications; it's a 16-week study to test treating ADHD and S/A together as co-morbid problems. They use normal Concerta and placebo pills with a new Cognitive Behavior Therapy protocol to address both ADHD and substance abuse.
Talked with the research coordinator, she felt that my son was a perfect candidate for the study. Therapist thought it was great, since it might be the only way to convince difficult child to start treatment ("it's not treatment, it's a medical study, and they'll PAY you to participate" - he'd jump at that).
They have a Federal disclosure waiver that prevents them from divulging any info provided by the study participants, and they don't even start the program like normal rehab, i.e. don't demand they stop the abuse, etc. The idea is that most people in this situation don't want to stop, don't see it as a problem, and the untreated ADHD makes it harder for them to recognize the need to stop. Their goal is to try a new CBT protocol that can get the ADD treated, and also use their newfound "clarity" to start working on the need for recovery.
Sounds just like what my son needs, and it's free. What's not to like?
Except that my wife has suddenly become adamantly opposed to the idea. She takes exception to me calling difficult child an "addict", although I now see that he fits every known definition of the word. She also doesn't want him to stop his current ADD medications and take the chance he could get the placebo for 4 months because he might then lose his job. I could care less if he lost his job, his car, and every stitch of clothing he owned if he would get help for the pot. She doesn't want to risk "losing" the progress we've made, even though our therapist is now saying we can go no further without dealing with the pot.
So, I don't know where that leaves us. To me, this is the best chance of getting him into treatment - free treatment, at a well-respected dual-diagnosis Residential Treatment Center (RTC) here in the area, and one that seems tailor made for his dual problems. I even think I can sell it to him with the money they pay the participants, giving him "credit" on his car or insurance note while in the program, and by stressing the fact that it's a study, not formal treatment (not exactly true, but not exactly a lie, either).
wife sees things differently, though, and I don't dare discuss this with my son unless she and I are on the same page. He'll either see our disagreement as an excuse to not participate, or he'll be put on guard by wife's concerns, and will not go into the study with an open mind (and won't get much out of it). I know for a fact we don't have a snowball's chance of getting him into "normal" treatment (already looked into that, he won't go).
So, the short answer is that he's back to where he was before the asthma attack; doing well in lots of areas, still doing other things that aren't good for him, and has no desire to change. All that's changed is the disagreement between me and my spouse now.
Still looking for a monastic community to run away to....
:smile:
Mikey