Our expert says:
Alcohol is a profoundly depressing drug in itself, and it interferes with the effectiveness o any antidepressant medication one is taking, and probably enhances the side-effects. You don't mention the age of your son, which may be very relevant.
I think Occupational Therapy is GROSSLY exaggerated in terms of value and effectiveness in SA, for some odd reason, and it is far too often offered expensively as a therapy in situations for which it has no demonstrated value.
Its maybe a pity of your wife and child in their new place are distant from family and friends, as it could be useful to have people like that to rely on to keep an eye on both of them. However, of course your wife shouldn't blame herself for moving him - like many things in life, it seemed like a good idea at the time. One aims to learn from errors, and to make better decisions later, based on such experiences.
Unfortunately it's not possible for me or us at H24 to keep track of all the relevant shrinks and other health professionals in SA, where they practise and what they're especially good at.
It does indeed sound like a good idea for the boy to see a child psychologist ( who, if any good, would also see his mother for information, and to advise her on devising a discipline structure for the boy which you would endorse when you are home, so he faces a consistent and fair system of rules and punishments, dealing with important issues and not bothering about the small stuff.
And yes, it would help for her to see an adult psychologist for assessment and advice, too.
The school your boy is at should surely be able to recommend some local child psychologists they have worked with and found useful ; and may also know of a good local adult psychologist ; a GP would also be able to advise, if she has one.
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