I'm back. It's been awhile since I was on here and I used a different name them - it was butterflydreams. Anyway, life has been very hectic since this last summer. I am no longer working, I am going to school full time now. My daughter took the GED in May and aced it! She is now attending the local community college full-time and getting A's! I am so proud of her. difficult child appeared to be doing ok for a little bit and then seemed to just regress. I took him to get assessed at the same mental health facility that we have used before - it's very limited here. Anyway, they wanted to put him in the partial program but we had to wait for the medicaid to kick in. Well little did we know how long that would take! Even though I activated difficult child's SSI (he was awarded last year, but I made too much, but after I wasn't working anymore, I went into the SS office at the end of August and they activated it full time) and submitted the app for medicaid at the end of August. In Nevada, you only need to receive $1 of SSI to automatically get medicaid. Anyway, he was evaluated for partial early September, it took until November for the Medicaid to kick in. Meanwhile, I had to buy his medications out of pocket and he was increasingly regressing. difficult child's psychiatrist is no longer associated with the phospital so once difficult child started partial, we got assigned to a different psychiatrist. He didn't do anything! Even the therapist on the day they discharged difficult child said we hadn't accomplished anything. Medicaid wouldn't only allow for 2 weeks. I am at my wits end. difficult child won't go to school. Makes up excuses. He started a new school after being in partial and of course they don't know him and he was getting aggitated so they said he needed to go home. (He knows what to say to get people to think his way). He is very manipulative. Anyway, he won't shower. Kids when he was in partial kept telling him he stunk and he doesn't seem to care. The only time he took things seriously was when the staff said they were going to take him over to the inpatient unit and make him shower if he came the next day without showering. The therapist at partial told me that he is an "emotional vampire" he just sucks everything out of you. He doesn't care about anyone or anything - just what he wants. I went to see my therapist whom I haven't seen for months today. She has been our family therapist for 3 years. (In the beginning she worked with my son too). She said I have tried everything that could possibly be done, everything that they would tell me to do and nothing is working to get through to him. He only gets worse and it is deeply affecting me and my daughter. She suggested that maybe its time to look at out of home placement for him for now. He seems to do fine when he was in Residential Treatment Center (RTC). Anyway, sorry this is so long, I just have so much to say and I don't know how to put it all in words. I am at a loss as to what to do. I love my son, but I have gotten to where I resent him.