My son is 18 years old. He attends CEGEP in Quebec (like college) and works part-time at Loblaws. He had difficulty last year with addiciton to computer online games and at that time he quit school and stopped going out. He had very bad acne from the time he was 13 although it has cleared up quite a bit in the last few months. He has always been considered quiet and shy by his teachers. He has particular difficulty in groups and does not speak when in a group. I have been with him at social gatherings and he is always very quiet. He says he doesn't like people and that he doesn't know how to make small talk. He will avoid social gatherings if possible and doesn't like us to have people over. He was in one to one counselling last year but it doesn't seem to have improved his comfort level in groups. He has few friends and only talks to them on the phone occasionally. He is always home if not at work or school and usually on the computer. He admits that he would like to be more comfortable in groups but otherwise he does not feel that he has any problems. He considers himself an introvert and says he gets enough socializing at school and at work and doesn't need to see people outside of school or work. At home he is quiet and keeps to himself a lot but he will join or initiate conversations with us. He has agreed to look at some options for becoming more comfortable in groups however he is adamantly opposed to medication. How can I help him? Or should I leave him be? I feel very concerned for him.