... a doctor
Abilify - My 22 year old stepson was diagnosed when he was a child but was never seen or treated by?
Added 26 Feb 2017:
His mother and father divorced and she never followed through with doctor visits or medications. He also has OCD, gets agitated quickly. He doesn't have a good relationship with his father due to mother not wanting her son "labeled ". She now has passed away and now lives with us, after living with maternal grandmother and brother but that's didn't work out as well. He refuses to see doctor or take medication. He doesn't know know how the real world is but eventually wants to live on his own. He doesn't think he has any medical issues. His father and I do not know what to do. I have a 14 yr old son of my own who also lives with us. We just don't know what or where to go to get him some kind of help. But if he refuses to go to neurologist to see where he stands within the autism spectrum, what do we do then? We love and care for.him deeply but he doesn't want to comply with anything we ask of him. Can anyone help?
He seems very responsive and able to interact for a kid with autism- if that is the actual problem then he's unlikely to be on the extreme end of the scale.
A neurologist isn't the typical specialist to treat autism or mental health in general. A psychiatrist and therapist who specializes in troubled kids is really more appropriate, but if he refuses to participate he may need to go to an inpatient facility. He likely doesn't feel he has a "safe place" with so much trauma in his life, so going inpatient may help him learn to feel safe again and also how to interact in a family setting. Some are even free if money is an issue but a child needs the help. It's worth asking your local department of health if there are any options. Unfortunately, his late-mother's fear of labeling isn't unfounded, but he still needs help and knowing he has a confidential place in which he may open up could be a huge help. Also, if he doesn't have much of an historical relationship with his father, then it will be extremely difficult for him to accept his father as someone he must "obey" - it's important to realize he's not being bad, but kids express pent up emotions in odd ways, many of which are harmful to themselves or others. A psychiatrist is the best first step and then they should be able to help direct what to do going forward.
One final thing - Abilify is now used for Alzheimer's, Bipolar Disorder, Migraines and many more off-label uses, it's being prescribed a lot even when other medications have shownbut I caution you to read the potential side effects closely. Many former people who took the medication reported awful side effects while on it and an awful experience coming off of it. There are options with far fewer risk of side effects and have been used longer and shown to work.
Best wishes in a difficult situation.
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