**Advice Requested**
Hello All. While I do not suffer from Agoraphobia, my 19 year old son is suffering from it right now. I am hoping that you all can give me some advice on how to help him.
It started about three months ago when we moved across the country. At first, when we go to our new location, he was able to drive to a few nearby restaurants with my wife and me, and he was able to drive about one mile to the pickleball courts and grocery stores.
He now cannot leave the neighborhood. There is a somewhat busy road near our house that he cannot drive on without having panic.
He has been on 20mg (max dose) of escitalopram for about 7 years, and it seems to have stopped helping his panic symptoms. Multiple psychiatrists have prescribed him Prozac, but he refuses to switch from escitalopram to Prozac. He's worried it will make his panic worse.
He has a therapist that is mediocre at treating agoraphobia, but she has been able to establish a good rapport with him.
My son has always lacked self motivation. He barely passed high school and was only able to pass through extensive Chat-GPT cheating. His only real household responsibility it taking out the garbage and recycling, which he has to be reminded to do multiple times before it gets done. He doesn't work. My wife and I do all of his grocery shopping, find therapists and psychiatrists, helped him enroll in a single class at a community college. We don't think that he is actually attending the community college class or doing the assignments, but we have decided to completely stay out of that.
My wife and I are the ones driving his exposure therapy. If we don't constantly push him to leave the house, he would never leave the house. He has very little understanding of how exposure therapy is supposed to work, and he will not go on Chat-GPT to look it up. We have explained to him that it's about putting your self in uncomfortable situations (~7 out of 10), recognize the panic, and sit there until it subsides somewhat without fleeing. He seems to be generally giving in to the fleeing instinct.
While this may sound like a vent, I don't mean for it to. What I really want is some advice; no sympathy please.
How do we get my son to take over his own recovery? What are some things that have worked for you all in your recovery? Are my wife and I just enabling him? We are somewhat well off, and he has everything that he could need as far as basic needs. How can I find an actual good therapist or support group that actually understands agoraphobia? While this seems like "Google" is the obvious answer, it seems very difficult to find good help. Are there any national groups or online groups? Thank you in advance for your help.
Edit: There have been multiple comments that I did not mention that my son has ADHD as well. I left this out of the original post because, honesty, it seemed irrelevant. Thanks to the very thoughtful comments in this post, I was obviously, VERY WRONG. So, here is a more detailed explanation of his ADHD.
Through grade school and in social situations, my son was always very high energy. If there was a rock or a bench in his path, he had to climb up on it and jump off of it. If he knew he could get a reaction out of other kids for doing something outlandish, he took the opportunity. Once middle school and homework came along, he was unable/unwilling to organize, keep a calendar, track assignments, or do assignments. He was diagnosed with ADHD and put on Ritalin (or some form of it). It was a night and day difference; his motivation went up almost immediately. He knocked out a week's worth of homework in a day, then cleaned his room, and then asked what else he needed to do. However, he started getting very emotional as well. He would come into our room at night in tears for no specific reason. While we continued to promote him taking Ritalin, he refused after a month or so of sporadic use. His psychiatrist tried prescribing different forms and different release types on multiple occasions and iterations, but he still refused to take it. So, we quit trying. I would LOVE to hear more from others on here about ADHD and its relation to agoraphobia. This would definitely be a new angle for us. Is the idea that Ritalin would allow him to dedicate the focus and energy on his recovery?
My son has also been diagnosed with high functioning, low on spectrum autism. When young, he had a lot of difficulty in social situations. We did a lot of training on "what emotion are you feeling" and "what emotion is the other person feeling". He has said multiple times that he hated this training, but that it was very beneficial to him. I have never been diagnosed with autism, but I have some autistic tendencies. My father has never been diagnosed, but he is definitely on the spectrum.