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I suggest tough love
I'm going to tell you what I think from a messy ADD sufferer point of view. I have to agree with Eric: tough love works. I have never seen a magot anywere I've lived, but I see the pontential to get to that extreme. I've lived with friends, who lovingly have called me funny names for being so disorganized leaving a path everywere I go in the house, and as long as we're all laughing...it doesn't work, I don't change. When I leave something behind, like the coffe mug, or the empty plate, as soon as I get up it's out of my mind. When I leave the washer or dryer full of cloth it's because it's like I never did the chore as soon as I'm not in front of the machines. I need to have reminders buzzing -and aggravating me- or else it works like amnesia. I've been watching the tv reality shows "Hoarders" and horrifies me the potential this ADD has to control our lives if we unawarely don't work hard on it.
A month ago my house was embarrasingly desorganized, all mine, none of my husbands. he works hard 5 days a week, I work harder but on n off so I spend more time at home, therefore it's only fair that I keep my mess controlled and not make him help me pick up, so I've never asked him to help me pick up. He got to the point where he sat me down and told me very upset that he was willing to walk out of out 10 year marriage if I didn't do anything about the house. he was at the very edge, it was a long talk. How I felt? Humilliated, upset, outraged, I started crying -what he thanksfully ignored totally- and started picking up stuff and puting it into place, and finding places to the stuff that didn't have it, and throwing old mail and papers and stuff I didn't need, and cleaning up. I spent 2 days cleaning this little 1200sf house. I had hit rock bottom. I have to admit that tough love works.
I believe that your roomate could change if he feels a negative emotion slapping him every time he's going to forget to pick up after himself. When I don't pick up is because my mind is somewhere else and does not percieve what I'm doing, therefore I don't see the empty plate or the pair of sissors on the counter instead of back in the drawer...but because I felt hurt associated with not paying attention to those little things (that can become so big) the negative feeling it's a calling call, a reminder that snaps me out of my distraction.
I think that the humiliation of a group meeting explaining to him that his actions are disgusting and giving him the ultimatum of seeking therapy and medical help (no strattera) or he's out of the house, and the threat of calling a health inspector could work best, having clear that what you prefer is that he changes not that he leaves, but you're not going to tolarate his behavior.
I think this condition is controllable with effort, the same way a diabetic must have will to not eat sweets we must have will to organize. It takes effort and help, it doesn't come easy, it's painful at times, but the fear of becoming a hoarder is keeping me away from it.
Hope this helps
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