So I met with psychiatrist and difficult child yesterday, it was the first time I had met with psychiatrist with difficult child present. Before difficult child came in, I mentioned the tics and the leg movement. She agreed it could be the seroquel, and then tells me she increased the seroquel Wednesday and added 25mg in the morning and 25mg at noon as he was so hyperverbal (which he was and still is). I told her about difficult child's history of having his eyebrows "disapear" and how he had circular round bald patches on his head. That he was checked out by a dermatologist and no medical reason was found for it, so we assumed he pulled his hair out, especially because this would happen at times when he was not doing well emotionally. She agreed it sounded like it was trichitillomania. She asked me how I thought he was doing? I said he is not emotionally stable. difficult child came in. The throat clearing was very noticable at first, and when he calmed down and relaxed it got much better (this was not the case before, it was there all the time.). psychiatrist mentioned the possibility of him pulling his eyebrows out and he had a meltdown. Sobbing and immediately lost control. The throat clearing came back big time. Once he calmed down, it got better. psychiatrist is decreasing his night dose of seroquel from 300mg to 150mg, and keeping the morning and afternoon doses. Sounds ok. I wonder if the dose of the seroquel, when it was at a lower dose, was too low and his anxiety was worse so the tics were worse? We will see how he is next week. I will go up on Monday as it is his birthday, and Thursday for psychiatrist appointment and for an IPC meeting. He will see his dad on Sunday, so I am interested to see how he is Monday after that. On Monday I want to see if we can use one of the meeting rooms so we can have a mini birthday celebration, I will get some cupcakes and sodas and a pizza and we will open presents and maybe play a game or two. I am continueing to see some progress in some areas, it is hard as in some ways he is better and in some ways he is worse. I can see that he is learning some skills there, but stability wise? He is so not even close yet. I am grateful that they are going slow with his medication changes, and only making one change at a time. I wish the psychiatrist would communicate with me better, but at least I can be there when she sees him or meet with her afterward. I think he is going to be there longer than I ever thought, it is hard to realize that he has been gone just over a month already, and I see another month or more in the future. I miss my little boy, but hope that this realy helps us. I think one thing that will come of this stay, is that difficult child will have a whole new perspective on how lucky he is to have a family. So many of the kids are foster kids. One of his buddies up there went for an overnight visit with a possible foster mom, and apparently according to difficult child it was not going to work out so the kiddo is back at Residential Treatment Center (RTC) with no possiblity of a family. That must be heart breaking.