It's been awhile - nice to see some of the same faces still hanging out - or is that hanging in A little over a year ago, I posted about a mom who was torn between accepting her 'pre sociopathic' son back home after he was prematurely discharged from an Residential Treatment Center (RTC). After his discharge from the Residential Treatment Center (RTC), difficult child (then 13) was placed in a teen shelter for 90 days, in hopes that a local therapeutic foster home might be found for him. difficult child has had 8 short term hospitalizations, 3 Residential Treatment Center (RTC) placements and almost 1 year in a state hospital. difficult child was a 'major player' - aggression, animal cruelty, self harm, fire setting etc - for some reason, they were unable to find a foster home for him (can't imagine why..... . So at the end of the 90 days, mom was faced with allowing him to come home or have CPS (she placed him in CPS custody to get him long term care) start to look outside of the Dallas area for a placement at which point, he could have been placed anywhere in Texas (and Texas is a BIG state . Well, Mom chose for difficult child to come home and despite some rough spots, nearly a year later, he's still there (with no further hospital placements). He is now 15 and is a lot less sociopathic now and more a 'typical ' Bipolar teen. Both he and mom have worked REALLY hard at changing old patterns of interacting and are able to work through most conflicts without a major meltdown (although I have gotten a few crisis calls with difficult child screaming in the background). I would attribute difficult child's success to the effort by he and his mom, two really good CPS caseworkers (one replaced the other when the latter decided it was time for a career change). He has a good psychiatrist and fairly decent therapist (yours truly). The big struggle right now is school. Unfortunately, the system that they have in place to manage behavior in his self contained classroom is very frustrating for him and this often leads to significant raging on his part. Thankfully there has been no aggression towards anyone thus far. Hopefully things will continue to improve and maybe he'll live happily ever after - or as close to it as a difficult child can get. . I'll keep you posted.