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Has he been seeing the therapist for a while? My daughter lost her boyfriend in an accident and also was resistant to counseling at first. After 6 tortuous months (not sleeping, horrendous nightmares about the accident, feelings of guilt that she was not able to save him) she was in such a state that she finally agreed to go and see a child psychiatrist (she was 16 at the time) that specialized in grief therapy. It did help her but it took a while. I just can't imagine how a 2nd tragedy would have affected her.
Look after yourself too. It is incredibly tough watching your child suffer and feeling so helpless.
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