So difficult child 2 has refused to see any kind of medical doctor for more than 3 months now. Including a psychiatrist and his gastroenterologist. Every appointment I have made for him - with his agreement mind you - he has refused to attend, usually the day of the appointment making cancelling a big problem. I have been able to get out of any late cancellation fees so far but the last one was going to be $100 which would be devastating to my budget. So I told him I was not going to make any more appointments for him. If he wants to go to the doctor he can let me know and I will help him make the appointment provided he is clear that he cannot cancel it or refuse to go. He has no psychiatrist right now. He has refused to see anyone, new or old, since his discharge in September. The only medication he has been taking is Seroquel. He decides daily how much he is willing to take = usually 50 mg but sometimes 75 mg. But he is nearly out of it and we have no refill rx. His pediatrician gave us one refill but said he would not do more than that since it should be ordered by a psychiatrist. We passed his message on to difficult child 2. I started pointing out to him that he was running out of Seroquel 3 weeks ago. Last week my wife reminded him and he said then he would only take one tab (25 mg) instead of 3. Two days ago I asked him how much he wanted and he said 3 tabs. I mentioned that only left him about 7 tabs and then he would be out. He again said he would only take one. I saw my psychiatrist last week. She used to treat him too. We always talk briefly about difficult child 2 and when I told her about the Seroquel she said she supposed she could do a refill but it was dicey since she hasn't seen him in nearly 6 months. I told her that he knew he was running out but was refusing to see a psychiatrist. Since he is taking so low a dose (normal therapeutic dose is around 150 mg) it wasn't likely to cause side effects when he stopped - except that he will probably go back to having trouble sleeping every day instead of just 3 days out of 7. I told her I felt it was time for natural consequences to happen and she said she agreed. Maybe we will end up with him back in juvie or psychiatric hospital for Xmas or New Years. I feel like a bad mother but I am secretly hoping for that, just so we and his sister would have a respite from his difficult behaviors. Yesterday He didn't go to school - didn't even make an attempt. But overall (until the cookie monster scene at 1 am) he had a relatively good day and was helpful, moving boxes and helping with cleaning so we could set up a Xmas tree today.