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I'm afraid he may be back into a depression, but can do nothing about it. My suggestions about talking to the doctor again are turned down flat. Being an adult now, I cannot make him get help.
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Sorry to hear about your wife passing. It could be the root of his problems.
As a single father of two after my wife bailed out, I required my children to assist in their own care.
I gave them chores to do and there was always a negative consequence for non-compliance. I used the old carrot on a stick method. I moved us to a different city for work and took them home for the weekends to visit their friends. If the housework and laundry weren't done by the time I arrived home on Friday evening the trip would be delayed while I got things caught up around the house. It didn't take them long to realize their errors and they were always ready to go after a short while.
I also sat the two of them down with me one evening while I paid the bills. That way they could see what it costs to live. It opened their eyes.
FAST FORWARD...
To wife 2.0 who lost her husband when her youngest child was a pre-teen. He was 16 when I moved into the picture and firmly set in his ways. There was some friction at first. Then I sat him down and explained that I wasn't there to take his abusive father's place or be the lord of the manor but, I would be his friend. As he grew into adulthood he began suffering from severe bouts of manic depression that culminated in a final showdown of forced hospital treatment and a threat of eviction for his actions. He might have been out of his mind but was fully cognizant of what he was doing. Manipulating his mother to get what he wanted. She finally got on board with me in taking the severe action needed. I only hope you don't have to go down that road. It seems to me that the turn is fast approaching.
As for your boy... If he doesn't wish to comply with his own care and upkeep, including mental health.
Just take him outside and show him the street and ask him if he'd like to pick a direction. Then let him know that you do have a remedy for forced treatment whether he's paying rent or not.
Above all, let him know the consequences of inaction and negative behavior. Check with a doctor, hospital or your local law enforcement for options. Then inform your son of your concern for his well being and illustrate the options you can take if he won't go for help voluntarily.
It's your castle. Be the wise King.
PS: Ask. Don't order has always worked for me. My own father didn't learn that one until I was in my thirties and my youngest brother admonished him about it.