<p>I would avoid anything that gives your son the idea that any of this is his fault. That would include, initially, not hitting him with requirements such as doing chores or working. He should be able to come up with those things himself, when ready.</p>
<p>Getting mono in the first semester of freshman year could be absolutely devastating, especially for a kid with ADD and learning issues. The feeling of being left behind can cause depression: it is like being left out. The abundance of work to catch up on, that you can never really feel solid about, can be overwhelming. As fellow students move forward at a steady pace, while you struggle to catch up, it is easy to feel isolated. Often self-isolation is a way to make one’s external and internal lives match, if that makes sense.</p>
<p>I would give him a lot of positive feedback about his courage in staying on campus until the end.</p>
<p>I would let him know that kids who suffer medical problems exceeding two weeks often leave for the term, and are often required to return after a semester or even a full year out.</p>
<p>I would emphasize that he is not alone in this situation. Whether for medical, psychiatric or emotional reasons, there really are a lot of kids who take medical leaves, and also kids who just take leaves of absences for other reasons. It may seem to him that he has failed and his life is over. Encourage seeing this as just a small glitch. Give him a sense of the long future ahead.</p>
<p>Reevaluating where he goes to schools might be good too. Closer to home, less stressful place, more accommodating place (accommodations at the college level are much lower than at high school, and also some places are “survival of the fittest,” while others have a “culture of kindness.”)</p>
<p>I would leave him alone for a bit- require therapy, that’s it. Let him rest and recover and let the seeds of hope grow in him. Let the therapist deal with his planning, and just be supportive, while respecting his distance and autonomy.</p>
<p>At some point down the road, you could gently ask him if he would like to talk about what he might do, in the short and long term, and how you can help. If he would like to volunteer, you can ask if he welcomes ideas or connections from you, for instance. </p>
<p>I think that depression on top of mono on top of ADD and learning issues on top of the normal stress of transition to college are all big deals, and that this kid has been courageous in staying. He has suffered enormous burdens these past months. He deserves a chance to heal in a supportive environment, and, it would seem to me, deserves the trust that honors his persistence and preserves autonomy.</p>
<p>Many antidepressants work for only 50% of those who try them, and many stop working after a few months. In addition to therapy, perhaps you could get him to a psychopharmacologist or, even better, a good psychiatrist. Sometimes there are studies at research clinics in hospitals that give really good care for free. </p>
<p>Anger at moms is normal at this age. The more they need us, the bigger then anger, sometimes. Sometimes, the stronger the connection, the bigger the anger needed to break away. At this stage of development, our being pleasant but detached seems to work well. Hard to do, admittedly. His depression will exacerbate these issues, so it will take a lot of finesse and subtlety but you will find your way!</p>
<p>And buy tuition insurance next time!</p>