Reminds me of the young lady who was the more functional adult in the ER. The patient was a woman in her 40's who had overdosed, again, suicide attempt, and had a history of drug problems. The one who was being calm, cool, and collected was her teenage daughter. Fortunately our lead ER nurse saw through it and put the hospital social worker on both of them. The daughter needed to be given her life back, and quit being the responsible one for her mother's care.



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and not just teens, pre-teens ..... goes all the way back as far as you can through childhood. It's often one of the saddest consequences of addiction. 
I was delegated de facto adult roles for a few min. by interpeting in English for my mother when father was away from house at work. It occurred whenever mother needed help when answering phone or in a store..not all the time. Or explaining to doctor over phone in English, about a sick sibling on behalf for my mother..I was in my early teens. About 12 yrs. and up. Happened several times.
But it was real, I was expected to behave and be a role model. (very onerous for any child)
for an hr.! (Shared a bike with 4 other sisters. Baby sister too little, too young for big bike.)