We like the psychiatrist. He really explained things well and listened to what we had to say. He made sure that we were comfortable with this plan. He had reviewed difficult child's file and went over everything with us. difficult child will go back on the Flouxetine since it worked in the past. Just not as high a dose. The psychiatrist was surprised he was kept on as high a dose as he was. He said the tremors difficult child had in his hands were more likely caused by too high a dose of the Flouxetine instead of the clonazepam. difficult child will start out with 10 mg per day and go from there. psychiatrist is guessing that 15 mg may be the dose he ends up with. That is for the anxiety. For the panic attacks and school refusal: Propranolol. Until the Flouxetine gets to where it needs to be, the Propranolol will be taken mornings that he goes to school and mornings of anxiety events. This is a short lived 4 hour tablet. difficult child will take 10 mg tomorrow morning when he gets up and find activities such as playing outside, running around ect. to test how it will effect him. Then about 4 - 6 hours later take another 10 mg to test it again. On Sunday morning, difficult child will take 20 mg to test it and another 20 in the afternoon. He is to compare the two doses and if he can tolerate the 20 mg we will go with that strength for now to battle the school refusal he is quickly heading toward. Once the Flouxetine is up to effectiveness, the Propranolol will become a PRN for more anxious times/panic attacks. I think it is so weird. Remember how at first I was hoping for a PRN and then as difficult child became worse again and listening to wisdom of this board, I resigned to full time medications. Now I get both. So, I filled those prescriptions plus an eye drop prescription from the eye doctor for difficult child. I need to call the Pharmacy tomorrow - they were closing as I zoomed in to pick these up and I didn't take time to look at the co-pays: Maybe one of you can tell me if this makes sense (I hope not though): Pataday - eye drops - bottle so tiny you could loose it - $86.63 Ins paid $70.83 and I pay $16.00 Propranolol 20 mg tablets - 30 tablets - $2.98 Ins paid nothing - I pay it all Fluoxetine - 10 mg - 90 pills - $20.40 Ins paid nothing - I pay it all psychiatrist stated Fluoxetine was very inexpensive - you could get it for $5 at Wal-Mart (I will have to check into that). However, I know insurance paid for it in the past. I can't imagine it being taken off the covered list. I am wondering if the lables got mixed up? Maybe the Pataday is $2.98, The Propranolol is $86.63, and the Fluoxetine could be right since it is a three month supply?