any tips for helping a child with severe ocd?

[vernerdoe]

Good day for everyone, i'm not only newby just here, but on the whole concept of forums like this. Also english is not my first language, so i'm sorry for awkward grammar.

So, to the topic. It's probably quite popular situation, unfortunatelly, but what we have:

A 16 years old neurodivergent boy who live in the family with history of various mental disorders. The person who ask the question is his sister, i went through the hell with my mental health, but at that moment almost fully recovered after years of not being myself at all. I don't want him to lose the half of his life in his mental illness. That's why i'm asking this.

He spends almost all of his time (outside of school, + dyslexia) in a toilet and washing after .. whatever happens in a toilet. He tryes not to eat or drink, as i understand (i follow my mother's words, we live in different towns) sometimes, weekly serious washing is almost 24-hours event for him. Because of that he is either eating ONE meal in a day (through it's quite caloric and i'm sure he hits his cal. requiments) or not eating at all, as i told before.

He is living in a small town where it's quite impossible to get proffesionall help, and, to mention, it's quite difficult to find a good mental prof in Russia. But that's not even the problem, my family ready to take him whenever just to help him (no matter of their small budget), but he's absolutely resistent to any question about his state of being. I don't know if it's either anosognosia or something else, but, as i understand, he is either using sarcasm or not answering at all to all questions. He lost almost all his bounds with mother, so it's quite difficult to tell if he is really not considered himself ill or just continue to hiding all his feelings just for him.

Unvoluntare hospitalisation seems to be the only thing my family can do, but there's two thing that stops them. First one, there'is no decent hospitals around, and sacond one, my experience with it (abused, not being treated at all and got even more problems after the "treathment").

As someone who knows the whole situation too well, i understand that you can't recover if you're not telling youself "enough", and realize that you can't live like that anymore. For me it was like returning in my body after years of somebody else living in the one. Waste of time, still no regrets. But i don't want the same fate for him.

If you have any tips, i would like to hear it.

Thanks for reading it through all my mistakes and other stuff.

[Selesnya]

Hi, and welcome. It sounds like both you and your brother have had some difficult times. There are a number of people that offer web-based counseling services. Maybe you can use someone remotely to help work through the OCD? I know that when I was first looking for someone I investigated online options myself as there weren't great local options. I was seriously considering using Ali Greymond. You can find a lot of YouTube videos from her on OCD and she does counseling sessions for a reasonable rate. Her website is:

youhaveocd.com/

Your English really seems pretty good, so you may be able to get a lot out of looking at some of her videos on YouTube.

[vernerdoe in reply to Selesnya]

Thanks for your reply, i never heard about Ali Greymond before, her channel seems to be quite useful and interesting, probably, will translate some of her vids for my family. Counseling sessions would be great, but i'm considered myself recovered and my brother neither would agree to do it or has a knowledge of any language, outside of russian.