First off, I really have to give kudos to difficult children and easy child/difficult child's psychiatrist (they see the same person). He truly is amazing. Her appointment was for 6:15 tonight. He was running a bit late so we didn't get in until 6:45. We didn't leave until 8:15! He always takes his time and is so thorough. An added bonus is how much he makes easy child/difficult child laugh. He is super intelligent and super nice! So onto her appointment. She has really been struggling lately in a whole lot of ways-school grades, skipping (she sees nothing wrong with any of this). In addition, she is sleeping a lot and has had major meltdowns. After talking for a really long time he feels easy child/difficult child needs to try a new medication. She started on Remeron tonight. It should hopefully help with her depression as well as her anxiety. Fingers crossed it helps!! On another quick note, I also updated him on what we've been seeing with difficult child since we met with him last week. Looks like we may still be looking at hospitalization-more due to manic behaviors we seem to be seeing than his violence. We are doing another increase on medications and if this doesn't help we may need to look at hospitalization for the 4th time this year.