Reply to How to set household rules with depressed/SI teenager

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[quote=Anonymous]I agree with others that, assuming Prozac isn't brand new for him, you should explore a medication change. Not every SSRI works for every person. SSRIs don't work for every person. Finding the right med can be a lot of guess and check.

Beyond that, I think you need to have expectations but break them down into itty, bitty steps. What you asked should be reasonable, but for right now is just overwhelming for him. So for now maybe it's no food left in his room. Then no food or dishes. At the beginning this may involve you literally going through it with him once a day, helping him identify what's there that needs to go, and then being there while he takes it to the kitchen. You want tiny, accomplish-able goals that will not feel overwhelming to him, and provide support as needed for him to succeed. Then once he's been successfully doing the first step (for at least a week, I'd say) you can move on to the next tiny, tiny step. But seriously, it's hard to overemphasize how tiny it should be. You want him to be successful in making small improvements, and then he can build on that success. [/quote]

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