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[quote=Anonymous]My son, who had ADHD and low processing speed, started to develop mental health issues at age 15.  It initially started with depression and school refusal and moved on to intrusive thoughts and repetitive behavior and severe anxiety.  To make a long story short, he definitely had psychotic features for some time and eventually had a psychotic break.

One of the problems we noticed is that while he sometimes admitted to hearing voices, he didn't always.  And sometimes he admitted to trying to kill himself and other times, he vehemently denies it and says the doctors made it up.

Back to the short story.  Most important thing is medication.  Finding a prescriber that listens to you - which is no small undertaking.  Finding the right medication (and this is no easy task - we have years of trials, some of which failed miserably right away and some worked so well we had so much hope that one day just stopped working).  Staying on the medication.  And keeping life in order.  Structure and routine are important and sometimes as a parent it becomes you making the structure and routine happen.

My son is successful.  He found a good medication routine.  He is taking it - now, but not before a lot of crises.  He is in school   He has a job.  But the level of assistance he needed to get here if far beyond what most people expect to have to provide and he still needs more than a typical person his age.  If you met him, based on maturity and the amount of assistance he needs, you might think he's a brand new high school kid who needs a push, but he is much older.

Almost forgot -- diagnosis they ended up settling on is bipolar II with psychotic features, plus ADHD.  That's a tough combo to medicate because most doctors don't want to medicate the ADHD in someone with the difficult mental health issues he's faced.  We use a PNP because this provider listens better than any psychiatrist or other professional he's seen and he's cooperated with the treatment plan she developed.

Good luck.

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