We saw the other psychiatrist in the practice because ours is on vacation. I was okay with that because I don't particularly like ours. So, this other psychiatrist is about 3 days older than dirt. Just sayin'. And she didn't listen to anything that difficult child said. I would repeat back exactly what difficult child said and she would be ok with that, but I'm sure you know how well that went over with difficult child. It wouldn't have gone over with me had I been in difficult child's position. I'm kinda wondering if maybe psychiatrist just couldn't hear difficult child. And she was so busy interrupting.... Other than that (yes, I know not starting out all positive, but I'm tired, stressed and overwhelmed so it is what it is), she was much more on top of things than normal psychiatrist. None of that "hmmm...okay" to everything that was said. This psychiatrist asked pointed questions. It ticked difficult child off, but they were things psychiatrist needed to know. psychiatrist decided that AD's are probably not the answer. She said, "I know you don't want to hear this, but I think we need to try a mood stabilizer." I guess some people take that hard. I'm just willing to try about anything at this point. Anyway, I mentioned Lamictal and she said that's what she usually prescribes. We talked about that. Then she said, "We'll probably want to add an atypical, too." difficult child asked what an "atypical" was and I explained to difficult child what an atypical AP is and what it's used for and psychiatrist says, "You really know you're stuff." I'm not sure I want to know so much about this stuff, you know? And then I said that Abilify is supposed to be weight neutral (thank you for that info crazymama) and since she gained so much weight in such a short time on another (different class) medication, I would like to try that instead of one of the others. She agreed. So, then we addressed the sleep issue. She asked about benadryl and melatonin and they don't phase her. She asked what worked for me and I told her Phenegran 25mg and Klonopin .5mg taken together. She said she doesn't normally like to prescribe Klonopin for kids because it's a controlled substance, but since I know what I'm doing she was ok with it. In fact, she went right for it. So, in the end she now has a working diagnosis of Mood Disorder-not otherwise specified. Who knows. I think she's just a cranky kid with severe anxiety, but maybe it's just because that's how she's always been and it's all I know with her. We'll try this cocktail and see if it works. It would be nice to see a happy, smiling kid. We see this psychiatrist again in a month, but she's leaving the end of August (probably retiring - I'm serious, 3 days older than dirt). At that point we'll have to go back to regular psychiatrist until we get into Children's. Did I mention that I'm stress and overwhelmed?