We had the appointment with the new psychiatrist on Thursday and it went very well. She really lived up to what I was hoping for from someone with her credentials. I wrote down and brought with me a written statement for her with everything about the situation - difficult child's current situation, physical and emotional problems she's always had, stuff that started in middle school, her medications history, family stuff, etc. She's the first doctor who understands and accepts how complex difficult child's situation is, with the physical and emotional problems making each other worse, and how long it's really been going on. She didn't brush off any of difficult child's physical symptoms by saying they were just because of anxiety. She also told difficult child that her being so underweight has made her body sort of shut down, and that's one reason she feels crummy and has no energy. She is changing her medications to Zoloft, very slowly increasing the zoloft while decreasing the celexa. For the first time in I don't know how long, I feel like maybe things will get better. Now I have to deal with the school. For school, psychiatrist agreed with the school (previous post about that meeting) that difficult child should right now go to just one or two classes. She gave difficult child a school excuse for all the time she's missed since the start of the year. Another thing she wrote for the school was that "she should be given assistance to make up her other schoolwork in a semi-independent, semi-supervised setting". I'm not really sure how that would work - maybe someone here knows how schools do that sort of thing. Ggf is willing to try going to school under the new plan. I have a meeting with the VP and counselor at her school on Monday. I guess we will talk about how to implement this. It sounds to me like too much for a 504. It seems like she'd need an IEP. They have not asked the Special Education counselors to attend, just the person in charge of attendance. difficult child told me that if I put her in Special Education, she'll be scarred for life. I'm not sure I care at this point. We have to do what will work. Her being almost completely out of school for the last 4 months has scarred ME for life.