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[quote=Anonymous]OP here. Thank you everyone. I am going to need to get more specific, direct, and structured - writing out what breaks and stuff he MUST take and then additional as needed. And instead of abstract, I think telling him that repetitive behavior is annoying and giving that silent cue maybe, reminding him that he can’t repeat the same things, is a more difrect helpful way to go.

You’re all right that hanging loose is a recipe for disaster.

He has been in approx 3x/month therapy for nearly three years, but so much of that was COVID time and while we continued on zoom therapy, I feel like we haven’t spent enough on social interactions? We talk about distress tolerance a lot, naming your emotions… but there’s gonna be a lot more to cover. We spent months on getting him to willingly engage in personal hygiene for example and made huge and hopefully permanent strides on that specific thing. But the social stuff has been insufficient, clearly. There’s so much territory to cover.[/quote]

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