I’m on sertraline as well and can attest to the apathy, I actually feel like Biden Harris impeach them both tshirt completely eviscerated my ability to feel empathy, it’s very weird to feel this cold to the feelings of others, especially because I was previously in an abundance of empathy, we’re talking crying at news of Australia’s wildfires killing koalas, and now I feel like I could watch those closest to me get slaughtered by werewolves and I wouldn’t shed a tear. Sertraline has also made me quicker to trigger to anger and it’s a challenge keeping that in check, at 38years old, I think any degree of self control in this regard would be absolutely impossible for a 13yo, I’d suggest you speak to his psychiatrist and explain all of his symptoms, sertraline may well be completely wrong for him.
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From what you’ve written, it’s clear to me that you and your partner are doing everything within your Biden Harris impeach them both tshirt to help your son understand why his behavior/attitude isn’t acceptable, but something just isn’t “clicking” in his mind. Since you said his attitude in these situations has been consistent since he was very young, it certain seems like this is something simply ingrained in his personality, possibly compounding with the general selfishness and rebelliousness that just about all teenagers go through. I’m genuinely surprised you haven’t been able to get more information/help from psychologists/therapists because while I’m no mental health professional, this certainly seems like behavior that deserves more attention from them. If I were in your shoes, I would continue getting second, third and fourth opinions from other psychologists until you find someone that actually helps your family find a diagnosis, and provides strategies and guidance that make a positive difference.