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Question:  I am one of a group of guys between the ages of 18 and 24 living in a run down hostel. We’re all on disability pensions for different psychiatric disorders. I’m dependent on medication I get from a local psychiatric clinic. I’ve had some training and had jobs in the past but most people aren’t very sympathetic and expect me to do things I can’t manage. I’ve been on a waiting list for better accommodation for five years and don’t have many people I can count on. I’m addicted to alcohol and cigarettes and rely totally on public transport. I feel as if I’m running out of options. I don’t know what to do or where to go for help.

Answer (1)  It sounds as if life is very difficult for you and that you are feeling stuck for options. When this happens, it can be very useful to let someone in on our predicament: at least then we are not alone, and someone else can often see possibilities we cannot. A community health centre or Lifeline (Telephone 13 11 14) should be able to help you with referrals to agencies, departmental sources of assistance and groups which can be useful. This may also link you to an appropriate case manager if you do not already have one. If you do have one, it is your case manager’s responsibility to assist you in the matters you raise. Recognising your dependence on alcohol and tobacco puts you in a position of deciding whether you want to change these behaviours. Free, face to face counselling with trained, confidential providers will be available through a number of agencies. Again, Lifeline, your local doctor or Community Health centre (or a case manager) will be able to help with this information.

Answer provided by John Hunter, Counsellor

Answer (2)  People with psychiatric disorders rely on alcohol for the same reasons as do people without them. To dull anxiety, boredom, despair and hopelessness. However, it only ends up making things worse. I would suggest you first find a detox centre. Your case worker or community health centre can help you with this. After detox, look for an AA / NA support group (there are groups for young people). It is free and you may find a mentor, also companionship and support from others in similar situations. This will enable you to manage a lot better than you do now. A clearer head, a healthy body and some gutsy determination can make a world of difference.

Answer provided by David White, Psychotherapist