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What did the shrink say? I assume it is a psychiatrist since he/she prescribed meds. Is he doing therapy with that shrink or a psychologist?
Hard to speak to your specific case as everyone is a little different. But there are some general truths I've found. If he really has clinical psychological issues then those need to be addressed. But just "oh, I'm depressed" or "oh, I'm stressed" but clinical symptoms. You need to talk to the doc and see what his assessment is.
Beyond that, substance abusers will not stop until they hit bottom and decide to stop. Period. You cannot do anything to control that. And trying to "help" can actually just enable continued bad behavior. That said, I believe that *if* someone really wants to get clean that the parents should help. It has to be a two way street though. And there need to be consequences for mis-steps. At this point it doesn't sound like he sees a problem as he has food and a roof over his head and you tolerate his behavior.
At some point both sides need to "man up" and take responsibility for it. He has to figure out that if he's going to function he needs to clean up (with the psych caveat). And you need to set limits and be ready to say "leave." My parents gave me a choice way back when - stop or move out. I moved out. Then hit bottom, got my ***** together, and asked for another chance. They granted it (luckily). But I made the most of it. So it can go right...but usually it doesn't.
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