Ok..I have been pulling my hair out with difficult child and school. Somedays I think it is him, others I think it is teachers and sometimes I honestly believe it is not in his control. Ever since he was 2 - 3 years old he could be this nicest kid, then in an instant be this screaming, mean scary kid. 4th and 5th grade the worst. He threw books, talked back, flipped over his desk...Then we took him in and he started on Lamictal. Also came the change to middle school. We have not seen that side of him in a very long time.(anger) Blurts out inappropriate remarks that get him kicked out. Other issues at school. So, I am really wondering if he has out grown that part or if it is the Lamictal that is keeping it in check. I am second guessing everything, wondering if he really needs the medication, if it is the wrong medication. So...I called the behavior health portion of my insurance on Friday. The Childrens hospital/medical college is about 30 miles away. The insurance man told me: They will approve an intial "intake" visit. I must call him with the name of ONE psychologist. They will not pay for a TEAM. After the initial visit the psychologist must send the papers back stating what kind of testing they want to do. Then they will approve a certain number of hours for testing. (not by a team) However, in the end, the insurance payment is decided on the diagnosis. ???? ADHD..mood disorder..is covered. Tic disorder is covered, however Tourrettes is not. Autism is covered, aspergers is not. So, how can I get an accurate diagnosis, if he cannot be tested by a team and their specialties? He has had some real sensitivities with noise when he was younger. Flicker lights, clock getting stuck and buzzing(at school). fire alarms, french fry buzzer at fast food places. Buzzers at sporting events. He has trouble writing, hence the computer use in his IEP. Has trouble transferring information from board/overhead to paper. Weak visual skills, superior auditory skills. (probably since he has such difficult time writing. says his hands hurt) These are all situations that teachers kick him out of class for. It angers me that even when he is quiet he is kicked out of class. That is his strongest learning ability...to listen. He loses absolutely everything. Any homework he does he forgets to turn it in or loses it. Eventually finds it but loses points. Class supplies are just never there. I buy them, I send them and he has no idea what happens to them. School text books..How can you go to class with a book and then lose it? He is very bright. Teachers comment on how even when he looks like he isn't paying attention, he knows the answers. Just has a difficult time writing them down. Talks. He can walk up to a stranger and carry on a conversation like he's known them his entire life. But..people talk to him too. I was hoping that with a neuropsychologist evaluation maybe I could get a definate diagnosis..and help him overcome these difficulties. Don't know if I will get an accurate diagnosis if the insurance only pays for limited testing...and THEN it depends on the diagnosis. Been thinking of speaking to his psychiatrist about coming off the Lamictal. Scary thought. But maybe he doesn't need that anymore. He doesn't seem to have the anger he once had. Seems sad a lot. Quiet. Is that his age? Or is he depressed? I KNOW he has a lot of anxiety about so many things. Different things.