After talking with the doctor on Thursday I have decided that I need to thoroughly evaluate difficult child and figure out both what is really going on with him and what we can do both at home and at school to help him. The doctor has said many times that I am the one who knows difficult child best and she is very impressed with my ability to figure him out and to express what he needs to others. To do a proper neuropsychologist exam would cost around $2000 and I can't consider that kind of money (and the doctor feels that it would not honestly give us a better idea of what is going on than we already have). Anyways, in my research I came across something called Pathological Demand Avoidance. It isn't an official diagnosis at this time and is generally grouped under Pervasive Developmental Disorder (PDD)-not otherwise specified. It fits difficult child to a T. It makes far more sense than ODD (which I have never been comfortable with) or Autism/Aspergers. There are still other issues involved (possibly Nonverbal Learning Disorder and definitely sensory issues), but this is fitting remarkably well. What do you guys think of this disorder? I am amazed how perfectly it fits difficult child.