Parenting adult child with depression

Posted by Twocoastsm @marlenec, May 24, 2023

After a series of disappointing life events, periods of unemployment and under-employment, combined with clinical depression, my son who is in his forties has, in my therapist’s words, checked out. Bottom line is that I support him financially in terms of keeping a roof over his head. He is compliant with his meds but is in need of a new therapist due to our move and to his therapist’s downsizing her practice. He is in grad school to obtain an MSW, edits online to earn minimal pay, and does some community activist volunteer work but, in essence, is not gainfully employed. The major manifestation of his illness is episodes of profound lethargy, e.g., sleeping all day. His seven year old son sees this and I worry about that though he does take some responsibility for his daily care. In summary, he’s like a teenager again in some ways. It’s as if being a student has brought him back to his late teens or early twenties. With the help of my therapist I have acknowledged that this all causes frustration and anger in me but due to his history of suicidal ideation in the past - and years ago he was in both residential and IOPs - I’m obviously reluctant to rock the boat, turn on tough love, or whatever. It’s not the money, believe me. It’s the concern that my support is enabling and that isn’t good in the long run. Any advice from either those of you with depression or those of you caring for a loved one with it would be appreciated.

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Profile picture for Twocoastsm @marlenec

To those of you battling depression and anxiety, I admire your strength and resilience - I don’t have these conditions but my 43 year old son with whom I live does. And he has a 7 year old son who also lives with us and he struggles to be a good dad while feeling so terrible about himself and hating himself. A succession of failures in terms of jobs, etc., has exacerbated his feelings of worthlessness. Most recently he was feeling somewhat better and then his new doc started him on 40 mg of Prozac and his anxiety went through the roof - chest tightness, racing negative thoughts, etc. Years ago I had tried to take this med (during a very high stress period in my life) and had to stop due to similar reactions - it was a disaster for me so my Doc put me on Mirtazapine. So now he’s nose-dived and Doc told him stop Prozac and try Cymbalta, one drug that he was on previously with his former Doc (we moved across the country last year) . As a mom my heart breaks to see him like this and I don’t know what I should do. This morning I got him to come out and walk the dog with me just to get him moving although he did get himself up and shower and say goodbye to his son before school - which I know took great effort and which I feel was better than simply holing up in his bedroom. I’ve told him that he’s felt better in the past and so he can do so again and that this is totally not his fault nor even the Doc’s since no one can predict a drug reaction. If you feel like he does what helps you from your loved ones?

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Thank you for such a candid response. Your comments are very helpful to me.

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Profile picture for Twocoastsm @marlenec

Thank you for such a candid response. Your comments are very helpful to me.

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Having given it a bit more thought: there's more. Everyone has one thing or a few things that sort of soothe them. If you can get that or have it done, it helps. When I am soothed, I am less anxious, and that lessens the weight of the depression. It will be different things for different people. For me it is: my bed having been made in a certain way, a long soak in the tub (this one only works a handful of times), cotton clothing (if possible, freshly washed and ironed), dim lights, and open windows. Eating breakfast late at night also helps me.
If you could find what those things are for your son, you could do them for him. You don't have to do everything at once or do something each day, but on particularly difficult days or perhaps at random, you can do some of those things.
Please ensure you are also receiving some care as the caregiver, because you are very important, and needed, and valued.

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Profile picture for Twocoastsm @marlenec

Thank you. He has a therapist - finally recommenced therapy after a hiatus while securing new insurance after our move. I also have a therapist whom I see weekly because I struggle with how upset I get at seeing him upset but I also struggle to not show it since I think that will make him feel worse. He keeps saying he’s sorry and I keep telling him that he has nothing to be sorry for since this isn’t his fault. He drummed up the energy just now to go into work but I could see he was still fragile. He has a lengthy history - was in residential for a month six years ago followed by an IOP. In essence he’s done all the “right” things to address his illness but his illness still makes him feel so worthless. He’s unemployed because he cannot seem to get a job he wants; he’s in grad school trying to get another degree but I know he feels as if nothing he does is ever going to work out for him and all this affects how he feels as a dad. I am considering going to a NAMI support group for care givers. I was my late husband’s primary care giver for five years during his (lost) battle with lung cancer and it’s hard to keep having to assume this role.

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Please go to the support group. Gather whatever support you can, and use it.
May I also suggest that you do something for yourself at least once a week. It doesn't have to be something big, it can be as simple as taking yourself for coffee and just having some you time for half an hour or going to brunch or to see a movie.
Sending you love, warmth, light, and hugs.

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Profile picture for Twocoastsm @marlenec

To those of you battling depression and anxiety, I admire your strength and resilience - I don’t have these conditions but my 43 year old son with whom I live does. And he has a 7 year old son who also lives with us and he struggles to be a good dad while feeling so terrible about himself and hating himself. A succession of failures in terms of jobs, etc., has exacerbated his feelings of worthlessness. Most recently he was feeling somewhat better and then his new doc started him on 40 mg of Prozac and his anxiety went through the roof - chest tightness, racing negative thoughts, etc. Years ago I had tried to take this med (during a very high stress period in my life) and had to stop due to similar reactions - it was a disaster for me so my Doc put me on Mirtazapine. So now he’s nose-dived and Doc told him stop Prozac and try Cymbalta, one drug that he was on previously with his former Doc (we moved across the country last year) . As a mom my heart breaks to see him like this and I don’t know what I should do. This morning I got him to come out and walk the dog with me just to get him moving although he did get himself up and shower and say goodbye to his son before school - which I know took great effort and which I feel was better than simply holing up in his bedroom. I’ve told him that he’s felt better in the past and so he can do so again and that this is totally not his fault nor even the Doc’s since no one can predict a drug reaction. If you feel like he does what helps you from your loved ones?

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I think the hardest thing for him - and for me to see him feeling - is his absence of hope that things will ever be better and his absence of any sense of success or accomplishment. I know - and at some level he knows as well - that these are the demons speaking. And frankly there are many times he’s tried something and failed. What do you do to regenerate hope?

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Profile picture for Twocoastsm @marlenec

To those of you battling depression and anxiety, I admire your strength and resilience - I don’t have these conditions but my 43 year old son with whom I live does. And he has a 7 year old son who also lives with us and he struggles to be a good dad while feeling so terrible about himself and hating himself. A succession of failures in terms of jobs, etc., has exacerbated his feelings of worthlessness. Most recently he was feeling somewhat better and then his new doc started him on 40 mg of Prozac and his anxiety went through the roof - chest tightness, racing negative thoughts, etc. Years ago I had tried to take this med (during a very high stress period in my life) and had to stop due to similar reactions - it was a disaster for me so my Doc put me on Mirtazapine. So now he’s nose-dived and Doc told him stop Prozac and try Cymbalta, one drug that he was on previously with his former Doc (we moved across the country last year) . As a mom my heart breaks to see him like this and I don’t know what I should do. This morning I got him to come out and walk the dog with me just to get him moving although he did get himself up and shower and say goodbye to his son before school - which I know took great effort and which I feel was better than simply holing up in his bedroom. I’ve told him that he’s felt better in the past and so he can do so again and that this is totally not his fault nor even the Doc’s since no one can predict a drug reaction. If you feel like he does what helps you from your loved ones?

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He might want to look into getting Spravato treatments. It’s the only thing that really helped me in decades. It helped me have hope and feel more motivated. It only costs me $20 per treatment. I’ve also found that mindfulness meditation helps. I recommend that for you also. Insight Timer is a free meditation app that I like.

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One adult recent post college child 22-23, has significant mental health challenges that have grown since 15, and trying to seek help( all college friends live away now , struggle to be social , purpose etc), - 22-23 yr old are closed off from other adult son 2 years older. and have significant reservations about the older brother - different views in world etc - (part of illness).

Both live at home for the time -older finishing a higher degree soon.

Should the parent share with older child that there are mental health concerns and we are trying to feign a little patience while help is being sought . It is not anyone’s fault or not much that older bro can do bc younger doesn’t even show acknowledgement - can do for him right now— I can tell older son knows something’s up but there is zero communication.

I wanted to address it akin to “it’s as if he had a car crash and needs help”, or “another health diagnosis and requires some significant help right now”.

I want to let older know, this is NOT personal and need him to continue his own life etc . If/when younger is ready , we hope more can be shared and communicated

Would that be violating some privacy for younger ?

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Profile picture for bbhealthy1 @bbhealthy1

One adult recent post college child 22-23, has significant mental health challenges that have grown since 15, and trying to seek help( all college friends live away now , struggle to be social , purpose etc), - 22-23 yr old are closed off from other adult son 2 years older. and have significant reservations about the older brother - different views in world etc - (part of illness).

Both live at home for the time -older finishing a higher degree soon.

Should the parent share with older child that there are mental health concerns and we are trying to feign a little patience while help is being sought . It is not anyone’s fault or not much that older bro can do bc younger doesn’t even show acknowledgement - can do for him right now— I can tell older son knows something’s up but there is zero communication.

I wanted to address it akin to “it’s as if he had a car crash and needs help”, or “another health diagnosis and requires some significant help right now”.

I want to let older know, this is NOT personal and need him to continue his own life etc . If/when younger is ready , we hope more can be shared and communicated

Would that be violating some privacy for younger ?

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Personally, I would let his older brother know. It is hard enough for YOU to deal with what is happening with your younger son. Adding the stress of keeping a secret from your older son is just not worth it!

He doesn’t need to do anything, but it is his family and should be kept away n the loop.

That is what family is about. And you will need to have people to support you as you travel through this difficult period.

My thoughts, maybe wrong but I do find having people know, it has helped me a lot.

Thinking of you! Wishing you all the best.

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