Hey Michelle

Firstly...I'm so sorry to hear about your miscarriage...you're in my thoughts...take care!

Re. your nephew...It might be worthwhile getting your sister to contact the local child and adolescent mental health clinic (CAMHS)...I'm not sure where she lives, but there's quite a few around Perth...I can let you know which would be the right one to contact if I know what her suburb is...

They are staffed by mental health professionals (Psychiatrists, Clinical Psychologists, Social Workers, Mental Health Nurses)...sometimes they do home visits...they are all extremely experienced clinicians and would be very familiar with working with kids who can 'shut down'...generally they also like to take a family focus, rather than just focussing on the one child...so hopefully he won't feel too targetted...

They are a government service so there could be a wait...but they will also be able to provide you with the names of some private counsellors...your sister would probably need to get a referral from either the School Psychologist or local GP...

Please feel free to PM if you have any other questions...

Hope that helps...