• Not qualified but have lived experience.

Often a refusal to communicate or any further steps in life is due to learned helplessness. In the sense that it could be this person have tried to communicate his/her/ frustrations before but have for whatever reasons felt that it was either not heard or misunderstood. Or it could be some underlying, deep seated issues such as shame, such as cultural background where, for example, where I am from mental health is often meant crazy like those poor representation you see in popular media where people smear feces on their faces and eat it for example.