difficult child 2 was 5150'd Saturday night. He was finally seen this morning at the new psychiatric hospital but was uncooperative and didn't answer most of the psychiatrists questions. His medical student called me and got hx and then he called me this afternoon. Apparently she talked to difficult child 2 this afternoon and he was much more cooperative with her. He is going to switch him from Geodon to Seroquel and maybe add Trileptal. He said he hadn't decided for sure - wants to see how the Seroquel helps. I told the psychiatrist that I thought difficult child 2 is incredibly anxious all the time. Also that he needs help with getting to sleep. psychiatrist said difficult child 2 is being manipulative and trying to do splitting with him and medical student. I said yes, we had a lot of that going on at home. He said he was glad we understood about the splitting. We talked about difficult child 2's rigid thinking and inability to take another person's point of view. psychiatrist said you understand these are not things we can really help him with in short term treatment. He asked if we had thought about residential treatment placement. Yes. I understand that these cannot be addressed in the acute setting. And we have no resources for residential treatment. Our health insurance specifically excludes it and we don't have the financial resources to pay for it. I told him we had an open CPS case and the social worker had talked to me about getting a group home placement through probation. The psychiatrist said he had some experience with that and it was very unlikely to happen. There just wasn't any funding for it anymore. So he asked me what are the goals for this hospitalization and I said I think we need to try to get his sleep regulated better if at all possible. And address the anxiety. He said if difficult child 2 doesn't become more cooperative he's not sure what they will be able to do. He said it depends on how stubborn difficult child 2 is going to be. difficult child 2 has called twice to say he isn't eating because the food is terrible. With great gusto he said he "hadn't eaten in TWO days!" and we should bring him food when we come to visit - or we could even drop some off if we can't come during visiting hours. I told him the food isn't all that bad - I know I was just there for 3 weeks. He said they weren't letting him go to the cafeteria so he only got what they brought him. I decided not to tell him that what they bring him is pretty much what he would get in the cafeteria too. So when the nurse called to confirm our agreement to continue the inpatient stay on a voluntary basis and the new medications I asked her if he had been eating. She said she wasn't sure and she would check on it. I asked if he was being allowed to go to meals and she said no - he's not working with the doctor so he has to stay on the unit. I told her that he was a picky eater but had been known to survive well on PBJ's. She said they can do PBJ's and thanked me for letting her know about it. I haven't heard from the wrap around program today. We have a meeting already on the books with the family therapist tomorrow evening so that's probably when we'll talk about the current situation. The CPS social worker visited difficult child 2's twin sister at school today. The social worker didn't know that difficult child 2 was in the hospital (I left her a message this morning but it hadn't caught up to her yet.) daughter said she told the social worker that she had called 911 when she heard her brother threaten to beat my face in with his fists. daughter said she told the social worker that she was afraid her brother would hurt her. The social worker told her that maybe her brother would have to go to a group home because she's afraid of him. At this point it feels like we are on a slope ending in out of home placement but there are lots of obstacles in the way. And I keep thinking if we could just find the right combo of medications and behavioral supports/interventions he could stay at home. I don't know how it's all going to turn out but I am scared. Trying to stay in the moment and avoid negative thinking.