Either he is mildly autistic or has a personality disorder
In either one of these there can be decompensation. And with decompensation there is a break down and risk to the individual himself. That is what I am saying here.
How could we have a valid opinion if the professionals who treat him face to face are having difficulty coming to a conclusion, pending testing? The point I was making is that he seems to be SUFFERING. Decompensation occurs with a personality disorder when their rigid defenses against feelings they guard against with their personality structure NO LONGER WORK to contain the feelings. This is a terrible situation. It feels terrible when the worst thing cannot be warded off.
just dont see him as mentally ill with a treatable disorder, such as bipolar.
First. We can't know. We do not know him. We have never met him. We are not his doctors.
If his doctors are unsure how can we know?
The second point is distress and risk. A crisis situation, which needs to be addressed can occur with personality disorders or with autism. There are interventions that are made to help the individual restore coping. When they are in crisis there is risk to them, and to others. It is that to which I am referring.
I am in no position, nor is anybody here, to speak to a diagnosis.
As far as the trip, I hope you can go. But the thing is, if stepson is not somewhere where he can feel safe, and in control of his emotions, and his behaviors, how can you and his father leave without stress and concern while you are away? Because as long as stepson is out of control, father will feel so, too, in his own emotions. There is no respite except for confronting the situation, I fear.
This pattern of behavior is escalating because stepson's personality, his functioning, no longer works for him. He is showing through his self-destructive behavior that he is spiraling out of control. This is a huge thing for a parent to accept.
This is the elephant in the living room. There is no escape from it. Not to Cancun. Or anywhere.