A little background.... difficult child has been increasingly more aggressive, in fights with friends, stole money, pinching and shoving people in music, problems at recess, major blowups/meltdowns at home, etc. I met with the psychiatrist yesterday and felt completely let down when I walked out of there. I guess because we are at the breaking point. I had my hopes up that he would make a change in difficult child's medication and we would have some relief. That didn't happen. I spent the time re-catching him up on everything and everything we have done and tried and all the medications and side effects, etc. and then time was up! So we have another appointment next week, in which he said we can talk more about the medications. Ugggh! I know it's only a week, but it feels like a lifetime to me. I met with the counselor in that same office today. Spent an hour getting her up to speed on difficult child, his issues, our concerns, medications, etc. All with my 3 year old in tow, because husband couldn't leave work today and we do not have child care or anyone near by who can help. It went ok, but I just don't see counseling working for difficult child right now. She wants to see difficult child next week too. So we see the psychiatrist Wed morning, and the therapist Wed night. That's going to be quite a day! So now... what to do in the meantime??? Give him everything he wants to avoid a blow up? I have had a headache for days and I feel like I've been run over by a bus. I am stressed out and not looking forward to the ticking time bomb this weekend. I also talked to the pediatrician today - she finally called me back. She said she consulted with the other doctor in her office and she felt like we never increased the stimulants to the proper dose because we thought it was causing side effect when maybe it really was just all the other stuff going on. She said if he was still in charge, she would have increased his Concerta from 27 to 36 mg. Hmmm! She also said the other doctor in her office said when x, y, or z doesn't work in boys, you need to look at the autistic spectrum piece. pediatrician doesn't see it in difficult child. I have looked at that many times and maybe can see a little, but not too much. My poor kid needs a break and needs to feel better. I hate this! I am really thinking the stimulants need to go. It's been almost 3 years and things are only getting worse, not better. Thanks for listening! Oh - and pediatrician doesn't think we need a referral for a neuropsychologist evaluation. She says to work with the psychiatrist and therapist.