this post was submitted on 08 Jul 2023
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It's mostly an unwillingness with inability to cooperate while going through the motions for him. We use state aid for his appointments so therapy for him is less an outlet and more check ins while making sure his meds are going well. They can make time if he's going through a particularly rough spot but it's normally me noticing while everyone else pretends everything is fine.
He's had a few different therapists with at least one decent one. Unfortunately he doesn't like what he hears back from them since he's VERY sheltered due to alienating himself from his peers despite me telling him some of those people are trying to offer olive branches or be friends. He suffers from being a weird kid and not understanding that he needs to lower his standards a bit too.
He has a very poor understanding of how easy he has for his home life since he was an only child for 13 years of it. He's loved and he knows it. But he also goes through big mood swings that are exacerbated with mom. When she's in a bad mood, he immediately becomes defiant. They feed off each other and it quickly becomes a negative feedback loop. They have short fuses with each other which results in him breaking his courtesy rules and mom making it worse by calling him out bluntly with little tact.
Would more therapy help or from someone different? Maybe a bit. He is very much one of the has a great month or few weeks then one bad couple days just ruins it all due to the executive dysfunction and the teenage need to pour gasoline on a fire out of spite lol.
Second to last paragraph hit home, ngl. I have adhd, gad, szpd and depression, my mum has adhd and probably either BPD or depression but refuses treatment. For a while there during the pandemic we were like oil and water. So, I can relate to your step kid.
We're doing much better now, but it took some time. Not sure where the rift is between your step kid and your partner, mine was values with my mum. It took boundaries being drawn by me for our relationship to get better. After it got better I started going to therapy, and my shrink hasn't suggested a better way to deal with the situation so, yeah. Not sure if this is any help but, yeah.
Yeah the boundaries thing is a big issue since he's still finding his. He genuinely doesn't have the ability to find out what he's REALLY feeling until after arguments and blowups. Generally I can find out what IS bothering him by just paying attention in the background but it's like pulling nails even when we ask. He knows his mom is going to sass back with her voice if not necessarily her words since she's also upset. Part of the boundary thing is that he just straight up wants to 'manage himself'. But he doesn't see what we see. He thinks staying shut up in the PC room for 18 hours while drinking only kool aid and eating a can of green beans is taking care of himself.
Like no dude lmfao. Just like if you call your mom a bitch, break shit around the house. No, you're not getting grounded for a day or given a warning. That stuff is A BIG FUCKING DEAL. That shit is weeks or longer until your behavior makes CLEAR improvements or we see you're ACTUALLY TRYING vs just doing your time. He's always had issues with flagrantly disregarding clear and reasonable requests with PLENTY of time and having to ask MULTIPLE times. He waits until you're having to YELL at him the 3rd-4th time vs asking nicely. He's learned long ago that YELLING is when he ACTUALLY HAS TO DO THE THING then gets upset he only does the thing when his mom is having to go that far. Like dude, we've gone over this repeatedly, both her and myself. Eventually your mom stops asking nicely and immediately goes to yelling since that's the only time you respond lol. People get tired of that shit and having to yell constantly to get someone to do something makes people throw their hands up in frustration and give up until they summon their mettle again.
I expanded on it a little more in my first comment, but I appreciate the input.
Oof, sounds like a tough situation, man. Little guy has a lot of growing up to do, still. How long ago was his last psych test? 'cus I do the shutting myself up in my room. Shrink tells me it's because of my szpd. If he's got that, that would make his emotional situation a tad bit more understandable. It usually starts showing up after 11 years, and is expressed more often in males. There's little more to do with it other than CBT, if the patient thinks it ought to be fixed.
Speaking of CBT, might be something worth looking into. Haven't tried it myself, at least, not guided by a professional, but I've heard great things about it. Best of luck, man. Glad to hear you're trying your best to help the kid, too many ND kids go without.
Thanks. I'll look into the szpd stuff.
His weird humor and odd comments occasionally were less ADHD shutin and more quasi-narcissist based, but it's kinda typical for all teens so it's hard to judge. Might be related.
Mostly it was him speaking through memes and when he watches spooky shit he thinks it's funny to pretend to be schizophrenic or weird weird. Like dude, you have to speak up if that shit is real for you or getting to the point where it's actually blending with reality vs just being a joke lol.
He's honestly gotten Waaaaaaay better with joke timing after I had a long talk with him about it now though lol. His delivery when trying to be social was just... Shit. It was shit lol.