Well, today was another treatment team for my difficult child (he is in the partial hospitalization at the local behavioral health center). Finally able to talk to the doctor in person and voice my concerns and frustrations. He started out the meeting with "I'm a little concerned" I said "a LITTLE concerned, I am alot concerned!" Anyway, he is taking him off the Welbutrin effective immediately because he is seeing some major aggitation the last few days and he thinks he is ready to blow. I told him, that the littlest thing will be what sets him off too and it won't be pretty. He will be re-evaluating him on Monday morning when he sees him again and then he will look at switching his other medications, but first get him off the Welbutrin. I talked to the doctor about difficult child's rages and explained one from last week and that they seem to get worse every time, you never know what little thing will set him off either. We talked about the violent thoughts that difficult child has been having and they noted from the "teacher" that is in the classroom with him during the day that difficult child talks about the violence towards his sister that he has had and that he is not remorseful, but thinks its funny. The doctor asked about school and my thoughts regarding when he returns, I told him that school was a real issue. In September we were dealing with school refusal and getting difficult child to go, now he goes, but doesn't do any work. difficult child will just sit in class and doodle and wont do anything and its not that he can't because he is very smart, he chooses not too. When he doesn't want to do something whether it is homework, picking up his dirty clothes, or even taking a shower, if he doesn't want to do it, there is no budging him. The doctor also asked if his hygiene or lack there of has gotten worse since being on the Welbutrin, I said no but, it also has not improved (which was one of the symptoms we were dealing with when he was put in the program again and his depression really was showing up). His hygiene is awful. Even with me prodding him, he wont take a shower most days. I even suspect that he might be soiling his underwear sometimes - keep in mind he is 12. He literally doesn't care if he stinks or not. Well, I am at work right now, I guess I had better get to work, but I finally felt positive about the treatment team and that the doctor is looking beyond the "bandaid" of difficult child's current medications. Thanks for listening.