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Hello and thank you for using JustAnswer. It sounds like this mother is a bit overwhelmed and does not appear well organized for raising a child from what you described, but what exactly is your mental health question that you would like an answer to in regards ***** ***** situation?
Well the child may have issues with boundaries, lack of discipline, increased anxiety, anger/frustration issues, and possibly a lack of direction as a short term issue. In the long-run this could lead to an anxiety disorder, low motivation, under-performing in school, and easily disorganized. But this is only a speculation as I have not evaluated the child or the mother face to face...also long-term predictions at this age are typically not accurate as children can be very resilient despite their living situation.
Hello again. The best thing for your grand-daughter to do to stop this manifestation of anxiety would be to provide a more set routine and organization for your great grand son. This will help provide structure for the child and will provide a stable routine for him to better adapt and adjust too. Children at this age need routines as they get overwhelmed very easily by changes, and disorganization, as they cannot adapt well yet to life stressors. Your grand-daughter may need to consider parenting classes to give her a sense of direction on this.
I understand that this is very difficult for you to witness, but it is up to the parent on how to raise their child as they have that autonomous right as long as there is no abuse or neglect present. While a set routine and stability would be best for the child and will limit any psychological effect or long-term issues, it is up to the parent to provide this. Remember you can tell your grand-daughter all about how she should raise this child and give advice when you see fit, but in the end it is up to her to decide how to raise the child. Parenting classes can be effective, especially for fist time parents to help guide them...they do not have to follow all the tips in a parenting class word for word, but it can be used as a good template to give them an idea of how to raise this child in the most effective and nurturing way.
Spirituality and religion is definitely a private and personal decision among parents and children that are not involved spiritually or religiously are not significantly than those that are. Now eating alone most of the time can cause anxiety, separation anxiety, and abandonment issues.