(I also posted this on the teen substance abuse bb). An acquaintance of my daughter, aged 17, used to go to the same private school, but P. was kicked out last yr because the Head of School thought he'd be the next VA Tech shooter. (Ass. He's the kind of person who would say that, too, and the fact that it hit the rumor mill ...) P. then went to a local Catholic HS and got kicked out for the same reason. He is now at a public HS. My daughter was IM-ing him last night and let me read some of their notes. She was trying to be sympathetic and is very worried about him and wants to know what to do. He is on anti-depressents but she doesn't know what kind (I will have her find out). I suspect he may be on street drugs, too (again, she needs more info). He said he smashes his head against the lockers when he's angry (to me, that's similar to cutting, trying to get rid of pent-up anger and anxiety) and it sounds like his anti-depressants are making things worse. He sometimes carries a knife to school and fantacizes about hurting someone. After he typed that, he took it back and said it was his anti-depressants talking. According to him, his family is very uptight and repressive and refuses to talk about emotions. He states that he is worthless. My daughter is worried not only for his mental health and safety, and others around him, but that he will get kicked out of public school for getting caught with-a knife (assuming he doesn't use it!). That would mean juvenile detention, which would only make matters worse. He needs serious therapy. Then again, she is afraid of waiting too long to stop him from doing something. My easy child's got a big heart but doesn't need this on her shoulders. (I told her that. ) I can only work through her at this point, using her as a conduit. Which medications have you had success with for this type of behavior? Which medications have made it worse? I'm assuming he's in talk therapy but don't know how often. Thanks in advance!