He is provocative, oppositional, loud, annoying, hostile when confronted, obnoxious, irritating... did I say annoying? And oppositional? I don't know WHY my buttons are so easily pushed this morning, but difficult child 1 has been exceptionally oppositional and obnoxious this morning. Perhaps he didn't get enough sleep and that's why the Focalin did not work as well. His patch is starting to kick in, thankfully, but I've already had my own meltdown because of his in-your-face antics. All it took was for me to smack my head on the coop door this morning and I completely lost it. I sent myself to my room for a timeout and bawled my eyes out over these angry and violent feelings difficult child 1 brings out in me. And then he acts like nothing has happened. I tried to explain to him that I cannot just turn my feelings on and off when he behaves this way. That I cannot just "get over it" that quickly. Maybe he gets it because he yells at us to help him fix his head. But he has to take ownership of some of this. He cannot rely on a pill to control everything -- and we tell him that. Sigh. We cut back on his stimulant because of all the skin picking he'd been doing to his arms, and now his knee. There are dozens and dozens of small scabs, some that got infected because of his picking. I don't know if this is going to work. Wish us all luck this weekend. Hopefully things will improve, and if not, then I'll be calling the psychiatrist with my frustrated update.