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If he's 18 years old, then he is legally an adult, and does not need their permission.

True. He's concerned about confidentiality issues because he's still legally their dependent and a resident in their house. He is also concerned that they will try and intervene if they find out. The backstory here is that when he was younger, the school ordered him to get some counseling treatment: his parents went to court to have him taken out. He also said that his parents had sat in on some of the counseling sessions and he didn't find that conducive to the process even though he was comfortable with the counselor involved.

Also, he has no money of his own to pay for such testing and treatment.

He can and should request an evaluation by the school for a learning disability. That is provided for free by the district, but they may try to stall. He should put his request in writing to his guidance counselor as that will start the clock running on getting the evaluation done.

If he has a learning disability, then he will be entitled to an IEP [Individualized Education Plan] that will delineate andy and all accommodations to address the disability.

He can also ask at the school for what other kinds of services may be available to him including counseling.

The operative word in the above is "free." That will fit within his budget. If he's eligible for an IEP, I hope it will make a difference. If nothing else, I believe it will let him realize less so that he needs help, but that he "deserves" to be helped and that it will make a difference.

Thank you for your suggestions! They sound appropriate and suitable. I'll give him the information and see what he'll do with it.
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