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[quote=Anonymous]My sister has always had anxiety issues but they were under control for a long time. Now she seems to be both depressed and anxious and just not doing well in general. She lives in NYC and in the past year she quit her job due to a disagreement with her boss (the details are very strange) and also got into a huge fight with her best friend and they have not been in touch since. My sister is 44 and single. She has very few friends, doesn't date, has no hobbies and now no job. I truly think she spends days in her apartment without going outside. My parents went to visit her unannounced once because they were worried and she was in her pajamas on the couch at 4pm and her apartment was a total disaster. They spoke to her doorman out of concern and he said she rarely comes out and just has food delivered in when needed.

I know she is seeing a therapist but she claims she doesn't like her and thinks she isn't helpful. She is also on antidepressants but not sure what or how much.

My parents and I are extremely worried about her but just don't know how we can actually help. She won't open up to any of us about how she feels or what's going on. We have each invited her to come down to DC to stay with us for a while and she always refuses. My parents even tried to plan a family vacation for next month but she said she didn't want to join. This week I arranged to go to NY for work and told her I wanted to have dinner together and do something fun. The plans were made and then she cancelled at the last minute saying she didn't feel well. I told her I would come over then. I got to her place and she proceeded to watch TV for 3 hours without talking to me. I didn't even bring up anything serious until the end of the night when it was clear she was just going to ignore me like I wasn't there. She did not look good and it seems like she hadn't showered in a few days.

What does one do in this situation? I am terrified something will happen to her if things continue to get worse. I work full time and have 3 young kids and my parents are dealing with some health issues, so we can't just go up to NY every week to check on her. Has anyone dealt with someone like this before?[/quote]

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