Upon further examination your son Holden seems to show symptoms of a personality disorder. In order to be diagnosed with a personality disorder, a patient must demonstrate five or more of a number of different criteria. Holden meets exactly five to some extent, suggesting he has a borderline personality disorder. He has volotile relationships with other people, engages in impulsive and self-destructing actities such as smoking and drinking, and regularly experiences feelings of emptiness. He displays intense anger at inappropriate times and is terrified of being abandoned, going to extreme lengths to prevent it.
I advise giving therapy a try. Make sure to choose a therapist Holden can be comfortable with if possible- someone he doesn't consider a "phony." Minimal medication is advised as people with this kind of disorder often don't take well to it. Above all, don't try to force him into anything. He is sure to resist if you do.
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