She does not meet the basic eligibility criteria for NOLS. They are not a form of mental health care. https://www.nols.edu/wp-content/uploads/2025/03/nols-wilderness-medicine-essential-eligibility-criteria-1.pdf |
Alternatively, what appeared to be “sudden ADHD” years after symptoms are supposed to be evident was actually substance abuse. |
Very unlikely that an experienced clinician seeing a patient long enough to try multiple different med regimes would have completely missed substance abuse in the differential. But maybe, I guess. |
where did OP say that her child had been seen by an experienced clinician for an extended period of time? |
Sorry to hear this and this is a parents (my) worst nightmare. |
Yeah this kid is doing exactly nothing right. There's a serious disconnect here. Also Lord help me if I ever describe an unemployed teen living in my house as a "mean drunk". I mean that sincerely. Something has gone really wrong here. |
Substance abuse is always self-medication for ADHD, trauma, autism, etc. Once you notice this, things become more clear. |
She needs a neuropsychological evaluation. With the all or nothing thinking, she has something more going on. |
Is the boyfriend an issue/the cause of her change in behavior? College can be tricky for many. Also, was she burnt out from HS? |
This, this, this. ADHD often has a co-morbidity of anxiety and/ or depression. Your daughter is self-medicating. Best of luck getting her into a program that will treat the addiction and its underlying cause. |
This, and I feel like everyone is massively overblowing the drinking. If every 19 year old who drank needed rehab, colleges and universities would be converted into residential treatment facilities. Good lord. Tell her it's time to pull up her big girl panties. She cannot keep coming home shit faced and screaming at you guys. How was this even allowed to begin?! You are in a position to demand that she not come home being disrespectful and she can't drive drunk. She needs tough love, not to be treated like a child. Taking away her phone, threatening XYZ is going to make her defensive. Those things should only be last resorts. |
And wtf at "She doesn't want to go to Community College." Tell her she needs to start somewhere and that if she's living at home for free you expect her to take a couple gen eds a semester and pick up part time work. |
Is this underage drinking? Most people this age drink some but it’s unusual to be openly drunk in front of your parents. She’s got a tough road dealing with the detox pain of alcoholism.
Can you talk to the boyfriend about supplying drinks to someone under age? I suspect she has no confidence after a lousy freshman year. I’d see if there is a reasonable thing to work on that’s not competitive: volunteering, art, animal care. Gyms can be pretty toxic so not working out. But long hikes are good. |
I'd look into AlAnon for you and your husband
and AlAteen for your daughters. |
Drinking is well known to cause anxiety. |