difficult child seems hellbent on sabatoging any progress he has made lately. Yesterday, I walked in my door at lunchtime - didn't even have time to take off my boots - when the phone rang. God love caller I.D. - at least I had time to take a deep breath before I answered and received the request to come to collaborative day to pick up difficult child. He had a good morning, apparently, but then was taunted into a tantrum by a classmate - and went into the "black hole" (his description) that is the hopeless meltdown. Raged for more than 45 minutes before they called me. Apparently raged most of the time it took me to get there, which is an additional 45 minutes. He destroyed craft items by ripping them up and throwing them at staff. He screamed and threw his shoes. He attempted to hit, scratch and kick staff. He spit in counselor's face. When he was being artfully ignored so as not to feed the tantrum, he resorted to something he has only done once - profanity. Merely for shock value, I'm convinced. Then, there were the "homicidal threats" where he stated he would "strangle" them all as soon as he was let out of the time out room. During an episode, there is something so completely opposite about his demeanor. And, he just simply cannot stop. It just escalates and escalates and escalates. He then goes into sabatoge mode - seemingly deliberately making things worse for himself. Deliberately defiant by doing and/or saying things he knows are not acceptable. All while keeping a very close eye on the reaction and actions of those around him. Anyone else's difficult child do this? It's as if he realizes things have gone too far and so they can't possible get any worse for him, so he goes full throttle. We have just begun adjusting medications, so the psychiatrist does not believe this is a reaction from that. Two uncontrollable rages - and unmanageable situations in 6 days is not a good sign. I fear that another hospitalization cannot be far away. He's only been out about 45 days. I don't even want to think about the next option if collaborative day doesn't work out. Thanks for listening - needed to vent a bit before putting on my "everything's cool" face and going to work.