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Psychotherapy and Mental Health questions

Our 23 Year Old Son Refuses to Get Help for His Anxiety Attacks and Depression.

Our son has been away at college and began suffering from anxiety attacks and depression about 2 years ago. He has had to drop out of college, lost his job and basically is doing a very poor job of making decisions in general. He lives 9 hours away. We have made numerous trips to get him help in his area, since he refuses to come home. He never follows through with any appointments we make and seems to be getting worse day by day. He currently has a prescription for Paxil, but I'm not sure if he is taking it on a regular basis. He is very angry and not the same young man he was a few years ago. What can we do as parents, other than sit and watch him self-destruct?

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