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[quote=Anonymous]Are there mental health providers who would work with someone in their own home? Adult DD, 21, is in such a state of mental shut-down that she refuses to engage with anything and anyone outside her home. She sometimes sees a friend or two, but even then, she seems stuck in whatever social thing that used to work when she was much younger. She managed to get some basic job interviews, and was excited about them, but refused to pick up the phone and actually speak to them. She plans to go to the gym, but pulls back last minute. We barely see her, even at home. Removing privileges (phone, car) simply means she sleeps more. She is not on drugs, just detached and depressed. School or a job is out of the question, and this is aggravated when the world is so excited about her significantly younger brother hitting these same milestones with flying colors.

Short of placing her in a structured program or having a mental health provider work with her at home, I am running out of options. She does have an ASD diagnosis that none of her other providers agree with. She refuses medicine, treatments, therapy -- anything that could mean commitment. And she is scary frail. Countless therapists have refused to continue when she has failed to show up, leaving us without good options. 
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