So far so good. We met with difficult child's new psychiatrist at the same center where she received counseling. He was thorough, smiled, made difficult child answer the questions, pausing briefly when she couldn't find the words and allowed me to step in on occasion. He didn't give a whole lot of attention to some of her comments, in particular the ones regarding her family relationship with my H and the one with her bio dad - I was so grateful that he didn't have her expand on these and lend his ear to her BS. He just sort of acknowledged her feelings and moved on. He was particularly interested in her sexual assault from May 2005. Since she's basically refused to discuss it with anyone, he really feels she still has some unresolved issues with it and will recommend to her counselor that this be addressed (yeah!). And he also would like to see difficult child choose a path - it doesn't have to be long term, but he really wants to see her start working towards some short term and eventually some long term goals. Lastly, he told me that he strongly does not feel that she is bi-polar. He says he strongly suspects most of her behaviors do not have labels and that they can probably be related to various things, in particular, her Tourette's Syndrome (the rages) & PTSD...and that the depressions she's encountered could possibly be symptoms of those things. He feels that her medications are okay for now and he said that he does not feel that any further medications should be required - that if she wants to feel better, she will have to do the work it takes to feel better and that will take some major effort on her part. He also told her she has to stop drinking and realize that the way she is going will likely lead to alcoholism or drug abuse. So, all that said and I feel good that we are dealing with such a straigh forward DR for once. I am concerned that difficult child does not or is not willing to do the necessary work, but I guess we will cross that path when we get to it. For now, she will be working closely with her counselor and will see this DR every 2-3 months to check in. He will give his recommendations to her counselor and we will see how things go. She's starting with 2 drawing classes at the local community college on Sept 4th and she just landed a job in a small Hallmark card store nearby, so I am hopeful. Thanks for the support.