Charles, Cool. Go with his flow for now. Two years isn't much for you all to adjust yet. You're just really getting into your care routine, and understanding how to handle the problems that come up (like wheelchairs that break - did he get his back today? - push them to make that happen ASAP). He's got lots stacked against him right now that may work out over time - his age means hormones; his accident means being pissed, angry, rebellious, fearful, apathetic, hopeless, unsure; his living at home means being pissed, pissed, pissed, secretive, pissed. His genetic history of depression means depressive episodes, and maybe some bipolar going on. He's got to rethink his whole life when he was just starting it, and that's a lot to handle for him and you. One suggestion is to make sure he's on good antidepressant meds, not just Prozac they always throw at everyone as the first choice. If you have ideas of what worked for you and what didn't, maybe talk to his doctor about trying one of those for him. You know how hard it is to do the trial and error of fine tuning anti depressant meds, and with his body still healing and his hormones changing, it will be tricky to get one right for him, but once he gets the right one, he may be more open to counseling. And he may want to do counseling through typing, email, writing as opposed to talking because it would be easier for him with the trach. With his IPad that could be set up pretty easily through email, messaging, wordpress kind of thing. You both are doing well, you are where you should be in this process, not behind, not ahead. It takes awhile to figure it out, adjust, keep moving. Years from now you all will be hanging around somewhere doing something together and you'll look over at him and all of a sudden it will hit you, "Man, we're ok. Jamison and I are doing just fine."