Milwaukee Journal Sentinel

Help brother get over barrier of finding a therapist

- CAROLYN HAX Email Carolyn at tellme@washpost .com Washington Post Writers Group

Adapted from a recent online discussion:

Carolyn: My brother is 33 and still lives at home with our parents. He has a law degree but has not worked in years. Our parents are elderly and depend on him to drive them to work and do grocery shopping.

Everyone involved — including my brother — knows he needs therapy to work through his depression, but he won’t do it. He tried to approach a therapist once and was told she was not taking new clients. My brother took that as yet another rejection in his life and can’t get the courage to approach another therapist. My parents would like to retire and move near their granddaugh­ter, but they fear if they left he would commit suicide. How can we convince him to get the help he needs? — Sib

Sib: Find another therapist for him and make the appointmen­t, even going with him. Apparently he knows what he needs to do but the barrier to entry is too high for him in his current emotional state. So, help him over the barrier.

The homework of finding someone nearby is something you can do by phone, online and/or via email — meaning, even if you live far away.

Once you have found someone and scheduled an appointmen­t, then your parents can take over to make sure he gets there, or you can plan a brief visit to make sure he gets there and feels supported.

Once he is establishe­d — and by that I mean, has a therapist, knows where the office is, where to park and how long it takes to get there, and knows what an appointmen­t involves — then the barrier may well be low enough for him to clear without an escort. He just needs support for getting there enough times for a treatment to take hold, assuming it does.

As you search, keep an eye out for providers who will counsel by video chat or by coming to him.

Carolyn: A friend of mine has a sweet and innocent persona, but frequently makes racist comments that I and others find off-putting. For example, he disparagin­gly called a mutual acquaintan­ce a “whitified Indian” (whatever that’s supposed to mean) and somewhat proudly, smugly states that he cannot tell apart African-Americans or South Asians.

I think he comes from a background in which he was sheltered from the realities of our diverse, multiracia­l and multiethni­c world, but there is no justifiabl­e excuse for his uncivilize­d, ignorant

commentary. How do we approach him about this issue before he makes one of these comments in a very wrong context? — Anonymous

Anonymous: I don’t understand the idea of an “approach” or of a “very wrong” context — is any context OK? — and won’t get started on the new act just added to my cognitive dissonance cabaret (“friend of mine” + “sweet ... persona” + “proudly, smugly” racist = I need a slack-jaw emoji).

When your friend says something ignorant and/or uncivilize­d, just say something on the spot. Such as, to borrow your excellent concept, “What does that even mean?” Or, “Do you realize what a stereotype that is?” Or, “I find that offensive.”

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