And.....tada! They are saying difficult child has Pervasive Developmental Disorder (PDD). A mixture of stuff: hyperactivity, impulsivity, lack of focus; difficulty related to people/creatures; mood issues; and some large and small motor difficulties. All of which I told them, then they saw for themselves. They cannot say Fetal Alcohol Syndrome (FAS) (or Fetal Alcohol Effects (FAE)) because he has no physical markers and we have no proof of parental alcohol consumption. They told me they'd help us with-school stuff but it's a constant problem for families like ours and we'd do well to find somewhere private or a charter that specializes in kiddos like ours. Which is fine and dandy, but we live in the country so transportation to anywhere would be a 2-hour round trip. *Sigh* But they're going to work with us. We're going to have an ongoing discussion. And they treat lots of kids adopted from EE with similar issues. They basically said kids like him could end up with-mood disorders, stay ADHD, or other alphabet soup diagnosis., or he could end up just fine. Early help is key. (That's why we've gone to dr. after dr. since he was 3, dr.) He's going up on Risperdal and adding back in a stimulant. May try some other things in 2 weeks. So no rockets going off here, but at least I feel confident in future help. The P.A. who we talked to after the dr. joined me in my derision for sticker charts, which gave me confidence. And I only cried once for about 2 minutes. A p.s. when they asked me why I was there I said some moms on a message board told me to go. The power of Dr. Internet!