Hi! My name is Karen and my oldest son (8 y/o) is my difficult child as y'all call it. He currently has diagnosis of ADHD, Obsessive Compulsive Disorder (OCD), Generalized Anxiety Disorder (GAD) (and possibly panic disorder), tic disorder (there is some debate amongst doctors whether its just tic disorder or Tourette Syndrome) and possibly intermittent explosive disorder. He also has asthma and some yet-to-be diagnosed issue with foods in that he will only eat 3 or 4 particular foods and literally gags until he vomits if he tries anything else. He's taking 10 mg of Ritalin when he wakes up followed by 36 mg of Concerta, 12.5 mg of Zoloft and 4 mg of Periactin an hour later and then 2.5 mg of Ritalin and 4 mg of Periactin around 3-4 pm. In the past month his unpredictable behavior has gotten so bad that he's come very close to being suspended from school. We're lucky in that his school's 504 coordinator is also his math teacher and she's been tiptoeing around writing notes to me to let me know what's going on rather than sending him to the office. He has taken to kicking, hitting, slapping and even biting people when they get to close to him. Complicating all of this is that he is also classified as "suspected gifted" and they're hounding my husband & me to have him tested for gifted education. His teachers don't see why he needs a 504 plan at all because he's making almost straight A's working a year ahead (2nd grade doing 3rd grade work). I have two other children (4.5 y/o daughter and 15 month old son) who to my knowledge have no problems. I have Generalized Anxiety Disorder (GAD) and use Xanax as needed for that (and boy am I using it this week). My husband was diagnosis as ADHD as a child but his parents were very strict and refused to accept the diagnosis and treat him accordingly. He still shows multiple symptoms. I have spent more time on the phone this week with teachers and his psychiatrist than I have on my job that pays the bills. As it is I sit here waiting for his English teacher to call me back (a few kids laughed at him in reading class y'day and he got so upset that he ditched 10 minutes of English class out of embarrassment) and the school principal to call me. I'm just at my wit's end now. How do y'all manage all of this?