[May I please start by asking only for serious replies, I would really appreciate it]
A long history of hard drugs, (they have now been on methadone treatment for years, but has recently relapsed into the harder stuff, and knows now that something new needs to be done to try to turn life around somehow). Will not undergo NA because of the "religious aspect to it".
No friends at all - has hit 50 years old, most friends lost to hard drugs, others they either pushed away themselves, or vice versa.
Never able to hold down a steady job - has no motivation to keep going once they get something. Flat out refuses to do a 9-5 as they are completely headstrong when it comes to being told what to do (this might be an issue with the therapy I know), but they claim to be open to something that includes driving (their only slightly discernible skill). The hardest part is their effort to sustainably apply themselves to anything of worth, and they are always coming up with these wildly outlandish and completely unreasonable shortcuts to make a buck, with obviously very little success.
A recently failed marriage - wild and endless arguments with more stable partner, stepsons did not accept them, bad divorce appears imminent.
Terrible physical health - Has COPD, eats very sugary foods, has diabetes, has begun to put on quite a bit of weight, and also has a heart condition.
Knows full well they have lived a life of empty words and false promises, and claims to accept that they have ruined a lot of their own life for themselves and those around them. Thankfully, is completely physically non-violent.
I have suggested some self-employed delivery work, just to see if they are capable of being somewhat financially sustainable for themselves, and also a PT who can encourage some sustainable fitness routines whilst working safely within the glaring health issues. The final suggestion was to help find them some talking therapy to help understand and work through the complexities of their life, but I don't know whether to opt for a CBT approach, a talking therapy approach, or something else I don't know about?
Thank you all x