the perfect storm

teen was sent home from school yesterday very very badly soiled. there are triggers which bring on soiling episodes and they all seem to have come together at the moment to cause him to be unwell, i am trying my best to support him and be positive to get through this period. TRIGGERS 1. cold, when its very cold or damp he tends to soil worse and its been a very nippy spell recently. keeping heating turned up and lots of warm drinks and food available. 2. stress. teen is worrying nhimself about lots of things, moving house, and not wanting to change schools but at same time not wanting to stay here, GCSE's he is worried he is going to fail when he knows he could pass if he hadn't missed so much school, he has a science exam tomorrow. and added to that really worrying about nhis soiling, whether it will ever get better, people at school noticing and hows it will effect his future. i am trying my best to reassure him, but he admits these things keep going over in his head preventing him from sleeping. 3 lack of sleep. between the worrying and the neighbours partying teen has really struggled to sleep. luckily he has had a really good sleep now., he fell asleep at 3pm yesterday, and other to get up for a shower at 4am, when he chatted about his worries, he then went back to sleep and is still sleeping now. so thats nearly 18 hours. i am trying to establish a good bedtime routine and get teen to stick to the rules, but he also knows i am here to share his worries with if he needs me. nothing i can do about neighbours, and although i want to assure him about move and trying to stay local for school that may prove out of my hands. i am going to keep him off school today and help him revise for his exam in morning but will have to discuss with school whether he can resit or alternatives so he doesn't feel like he has failed.