difficult child 1 has been having auditory hallucinations. He has had auditory and other types of hallucinations since age 4. They stopped when he was in the Residential Treatment Center (RTC). Two months after he got home they started again. Mostly they have been murmuring or yelling. They do scare difficult child 1. There is no way he is saying he has them for attention. (I have had years to practice unresponsiveness. I don't ignore them. He just doesn't get an emotional response from me.) There has been at least one every few weeks. These are not flashbacks due to PTSD. Last Monday he heard his name being called from inside the house while everyone (including him) was outside. He did have visitation with X on Monday. And X has been telling difficult child 1 that he, X, is moving away for months. difficult child 1 does not want him to move away from difficult child 1's friends. (Man won't keep his mouth shut about things that would stress difficult child 1. X probably isn't even moving at all.) difficult child 1's behavior has escalated the last few days. There hasn't been one specific problem. It has been a general controlling of others grouchiness. He has also been having nightmares. The frequency has been 4 out of 7 days he has nightmares. He did not have nightmares at the Residential Treatment Center (RTC) either. School has been great. He has been co-operative, only has had to be reminded 1 or 2 times to stay on task per task. He is actually do homework (very watered down but it something.) I know nightmares can be related to anxiety. How about the hallucinations? A therapist that has known my family for years and comes to our home on a monthly bases is talking that he might need medications again. In the past we've tried everything the psychiatrist was ok giving a kid (both psychiatrists in 2 different settings) without needing blood draws. Last time he got a shot it required 3 adults to keep him still and then he fainted. The therapist is having me validate difficult child 1's feelings and check it out to reassure him no one is there. I know from the past he will not be reassured by this. I don't think I would be either if it was me hearing voices. If I pay to much attention to him then he will say he hears them for attention. Then I won't know what he is hearing and what he is making up. This is not a nice tight wire I'm on. What have you guys done when your kids have hallucinations? Have medications helped? Can they be caused by anxiety or made worse by anxiety? Why would all symptoms that point to bi-polar disappear for a year in the Residential Treatment Center (RTC) then re-surface later? Thanks for reading this. I tried to include as much detail as possible.