Question

My teenage son suffers from anxiety and depression. He has autism and ADHD. He’s struggled with violent meltdowns since he was very young.
He tells himself he is worthless and other negative self-talk, daily.

One of his biggest obstacles is knowing his father doesn’t love him. His father is a narcissist and no longer shows any pretense to that fact that he doesn’t care. His neglect and abuse of me has had a huge impact on him as well. He’s cried many tears over this, and I’ve cried with him. He sees his worth in connection to the lack of his father’s care and love and craves the attention that he will never get from him.

He sees a therapist and the two of us have discussions often. It’s difficult for me to see him go through this and I feel helpless. What can I do?

Answer

It’s hard when you have a vulnerable child struggling to navigate a situation that would overwhelm even the most resourced person. He’s fortunate to have you as an advocate and protector. Yet, as you know, he can’t escape his own work of dealing with his father’s personal rejection. Let’s help you help him.

It’s important to set boundaries with your son’s father, especially if he continues to be neglectful or abusive. Protecting your son from further harm and providing a stable and loving environment can make a significant difference in his mental health and well-being. Consider involving legal and protective resources, if needed, and surround yourself and your son with a supportive community of friends, family, and other trusted individuals. If these supports aren’t in place, then trying to help him cope while there is active abuse and neglect will only leave you both feeling more overwhelmed and exhausted.

It’s also important to make sure you keep you own nervous system regulated so you can stay present and supportive to your son when he feels dysregulated by his own emotions. Even though his dad is actively abandoning him, your steady presence can reassure him on multiple levels that he’s safe and secure. Of course, you can’t replace the loss of his father, but your steadiness can give him a stable platform on which to build deeper resilience.

Watching him react to the same type of treatment you endured can challenge you even on your strongest days. Make sure you’re seeking the personal support you need so you can stay centered in the face of your own fears and worries for his wellbeing. Please don’t minimize the positive influence you have on his life. It’s easy to fixate on what he doesn’t have and miss the beauty and strength of your love and devotion.

Your co-regulation of his distress is important, but since you can’t always be there with him, continue providing resources to help him heal from the trauma of abandonment. As he grows and develops, he’ll increase his own capacity and resilience with the proper support. While you can’t turn his attention from the ever-present reality of his father’s absence, you can continue working with him to know how to regulate those big physical and emotional sensations that can overwhelm him from time to time. Spiritual support, cognitive therapy, somatic/bilateral trauma therapy, mindfulness, and self-advocacy are all important components of helping him gain his footing. The consistent presence of stable helpers can make a world of difference when dealing with attachment injuries.

He might have limitations in his ability to self-regulate and comprehend the truth of this situation. Thankfully, he can continue to count on what is right in front of him as you advocate and support him. It’s easy to feel powerless in the face of so much unfairness and pain and look beyond what you’re doing to help him. Stay steady and present as you continue to observe, ask good questions, and notice his changing needs. I hope you can see how much of a difference you’re making for him.

Geoff will answer a new family and relationship question every Friday. You can email your question to him at

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About the Author

Geoff Steurer is a licensed marriage and family therapist in private practice in St. George, Utah. He is the co-author of “Love You, Hate the Porn: Healing a Relationship Damaged by Virtual Infidelity”, host of the podcast, “From Crisis to Connection”, and creates online relationship courses. He earned degrees from Brigham Young University and Auburn University. He is married to Jody Young Steurer and they are the parents of four children.

The advice offered through Geoff Steurer’s column is educational and informational in nature and is provided only as general information. It is not meant to establish a therapist-patient relationship or offer therapeutic advice, opinion, diagnosis treatment or to establish a standard of care. Although Geoff Steurer is a trained psychotherapist, he is not functioning in the role of a licensed therapist by writing this column, but rather using his training to inform these responses. Thus, the content is not intended to replace independent professional judgment. The content is not intended to solicit clients and should not be relied upon as medical or psychological advice of any kind or nature whatsoever. The information provided through this content should not be used for diagnosing or treating a mental health problem or disease. The information contained in these communications is not comprehensive and does not include all the potential information regarding the subject matter, but is merely intended to serve as one resource for general and educational purposes.