yes it sounds like he really needs some professional help. but since he's an adult he can refuse unless he is a threat to himself or others. so glad you have a therapist...way to go!!..if he won't get help, he leaves you fewer options. that separation sounds good to me for your own sanity!...and your own safety. i hope things work out for you. you sound like a caring person but at wits end. there's a lot of support here for you too. take care. you deserve good things in your life. let's hope he'll 'waKe up" and figure that he's got nothing to lose by seeking a professional's opinion. (secretly he may fear he has sz like his mom).