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Hello and thank you for the question.I am Dr. Sohaib, a practicing Internal Medicine Consultant with over 13 years of experience and I will do my best to help you today.Let me review your question for a minute and I will get back to you.
He clearly needs a thorough psychiatrist screening, but at first needs a referral to a psychiatrist by his GP.
Do you think he is aware of his problems and recognizes this problem to be addressed?
Calling software is down so we will communicate here on the chat mode.
I was wondering if he even recognize or feel that he needs help?
That's great and reassuring.
The first barrier for such kind of patients who need counselling and psychotherapy or evaluation by psychiatrist is to break the denial they have --- most of them even fail to identify that they need help.
In his case this is a very positive sign.
Now what you can do is to carefully open the discussion with him, and tell him that he needs professional help in this regard, and need to see a doctor. He should not feel stigmatized about the suggestion to see a psychiatrist rather should take it in a positive way.
What I believe is that he has some degree of depression or bipolar illness, and sometimes even GP can pick up and treat this problem, and if deemed necessary can make and arrange appropriate referrals to specialized services, in his case psychiatrist.
May be he doesn't even need medications, just psychotherapy would be enough, but needs an in-office (clinical) assessment.
We have specialized questionnaires and assessment tools in the clinics based upon which it can easily be diagnosed whether he has depression or a mood disorder or it is just the normal variation in his mood and feeling low.
Welcome and my sincere wishes for his good health. And I do appreciate your concerns for the boy.