On Tuesday, difficult child had his annual physical which included three shots; two in one arm and one in the other. He did very well receiving them and dealing with the pain/uncomfortableness of them all day. That night he went to bed but didn't say anything to me about his problem getting to sleep. At 5:30 on Wednesday morning, he ran into my room and said, "Mom, my head feels weird. I couldn't get to sleep last night." He sleeps on his side and with the shots on both arms couldn't get comfortable. The pressure laying on his sides, hurt his arms. I let him lay on my bed but within 10 minutes puppy started whining so he went back to his own bedroom. At 7:30, I found him back in my room. I went to find him some Motrin and by the time I brought it to him, he was throwing up. So, I gave him some crackers and waited awhile for the Motrin to give his tummy time to settle. I called the school to let them know that difficult child would be late; he did not get enough sleep last night and although he threw up I was sure that it was anxiety and not a contagious illness (not suppose to go to school within 24 hours of vomiting). I was going to let him sleep in and then take him into school. About 8:30/8:45, I asked difficult child to get dressed and we would go. I found him in his room quietly crying. He could not handle going to school. I told him that once we get going, he will feel better and that the teachers will know he is not feeling well and will not expect too much today. This is so much what we went through Fall of 2007. He seemed so vulnerable. But this time I knew what was going on. I knew his anxiety was trying to disable him and he had to overcome this. difficult child said he wanted to go back on medications. I reminded him that he felt like this because of lack of sleep. He has to make sure he gets the sleep he needs to prevent this. Also, when he does get like this, he can feel better by catching up on sleep which he will do that night. I tried to get him to school at 9:00 (math is from 9:00 - 10:00) but we didn't get there until closer to 9:30. He did feel better by the time we got to school. I was able to talk to his teacher and explain that he is very anxious and concerned about school work for the day. She said the students were given Tuesday and Wednesday to work on the assignment in class. I reminded her that difficult child was gone on Tuesday and arrived 1/2 hour into the class that day. I also told her that difficult child will need to get to bed early that night, I didn't know that he could get the math done that night. She said that she will give him until Tuesday to do the work. He got to bed by 8:30 Wednesday night and was up on his own about 7:00 am this morning. School ended up being closed today. The neighbor girl came over and they spent the day playing Wii, trying to make a batch of caramel rolls, making lunch, and building Legos. difficult child seems very tired tonight. I got him to do his math homework today by bribing him with a surprise I had picked up for him but hadn't given to him yet. He says he feels weird tonight, but a different kind of weird. I don't know what is up with that. I have him doing his Stress Eraser right now. I asked him earlier this evening if he still wanted to go back on medications and he said he didn't know. He just came out and said, "Mom, I am scared. I can't remember why you said I should do the Stress Eraser." I told him it was to help him relax and that Dr. W. suggested he start using it on a regular basis since we have it. He has a fear of forgetting things. It upsets him when he knows there is something he should know and can not remember. I also told him that he is tired tonight making it harder to remember what has been said. The school ski trip has been cancelled for tomorrow so he will have regular classes. He is still awake and needs to be sleeping right now. I may have to make another decision to let him be late for school again tomorrow if he needs to sleep in again. I don't want to make a habit of this but I think as long as it is tied into loosing sleep over his arms being sore, he will not try to be late on his own.