I am not sure where to start. I guess the beginning. My son, Mason, is 3 years old. From the beginning, we have had a rough ride. As a baby, he did not speak or babble. His first word came at 21 months old. Since around 9 months old we have had issues with tantrums, biting especially. Between 18 and 24 months I just held on to hope that he was a rambunctious boy and it would pass. He is now almost 3 1/2 and things have not improved. We saw a speech therapist for several months but due to budget cuts, we were only seen 1 hour per month. He has come far with his speech but my husband and I are the only ones who understand his language. I do not feel like he is behind developmentally. But I feel like something in his emotional mind is off. And it is a terrifying thought. We have gotten to the point that we do not take him out anywhere if we don't have to. He refuses to sit in a grocery cart and will throw things out of the cart, or bite or pull my hair. He lacks respect for social norms... He is violent and likes to hit people in their private areas. This is not the child I am raising! If he does not get what he wants immediately, he will make high pitched squeals and laugh when you encourage him to stop. It feels like he does these things for attention. He does not tolerate discipline in any form and he does not care or understand when he causes someone pain. He does not seek to please us. He is especially aggravated when we show anger or sadness toward his behavior. He absolutely refuses to potty train. This has been a year long battle and I have tried every method the Internet has to offer. I've spoken with my pediatrician and he believes my child needs preschool and that our insurance (tricare, my husband is active duty military) would not approve a referral. This is where I need help. Who do I talk to? My husband is often gone overnight for work and mason's reaction to daddy being gone is very upsetting for all of us. We are 6 weeks from an out of state move and I need to get a handle on this before we all go insane. We had planned to get his speech re evaluated and go from there with his behavior, but now that we cannot get a referral, I don't know if I should talk to a therapist? We are able to seek mental health care without a referral.. But I just feel silly making an appointment with a mental health care provider for a three year old. Is that the appropriate action?