Hi, I haven't been around for quite a while...I didn't have internet access for a long time. A lot has happened with us in the past few months. difficult child now has a diagnosis of BiPolar (BP) 1, along with Tourette's Syndrome, Obsessive Compulsive Disorder (OCD), and ADHD. He is in a mainstream second grade class with a full-time, 1:1 aide. That worked well last year, but this year is not going well at all. He does well academically, even though he spends a lot of time outside the classroom (taking sensory breaks, re-regulating after a meltdown, going to Occupational Therapist (OT), etc). BUT, he consistently has huge fits about doing the required work, even when it is work that is not difficult for him. This week alone, he has thrown chairs, tipped over a desk, and kicked his aide. Overall, the people who work with him are very good. They are caring, compassionate people who put a lot of effort into helping him succeed. But, it just isn't working. We have had modest success with medications and his moods aren't cycling as badly as they were in the summer, but he is nowhere near "stable." We have a long way to go. So, husband and I are beginning to consider the possibility of an ED classroom for difficult child. His self-esteem really seems to be suffering in the current setting and he has started to hate school. However, he has friends his class and he doesn't want to leave them. Do any of you have any experience with ED classrooms at the elementary level? My gut tells me that difficult child needs more help than he currently is getting. But, I fear that putting him in an ED class means that we are giving up on him. Thanks.