Hi Vital and thank you so much for reading and replying.

To answer a couple of your questions. My son first started off with therapy - that was because he wasn't too bad at that point in time. The therapy was more focused on the difficulties he was having with his NPD father and the abusive environment he was living in. He struggled a lot with that because is Dad was very controlling, not to mention abusive in an emotional/psychological/verbal way.

He has a great group of friends. There is about 6 of them and they are very close. They care a lot about him and are all concerned. All their parents and myself have worked together as a team to help him in any way we can. He has stayed over at their houses for weeks on end and .... surprise, surprise appears to improve. That's because he has company, friendship and things to do .... and also because it's school holiday time. I think when he is at home, he misses companionship and becomes easily bored with his own company. He does not have a diverse range of interests and unfortunately no siblings to hang out with. All the other boys have brothers and therefore are never bored or needy of companionship. The problem now is that once he slips into this phase he's not motivated in the slightest to do much e.g. he has given away a sport which he does with a friend 2 evening per week.

Some of the deficiencies you spoke of are what he is being tested for now. To be fair to both the psychologist and psychiatrist the antidepressants were not the first line of treatment, but rather the last - although a few blood tests probably wouldn't have gone astray in the earlier part.

Thanks for opening up other things to consider.

Love Jannaku x