On Wed. She was at riding lessons, and she was cantering her horse. The horse tripped, and went down. difficult child of course went down with her. And now we have a cast to the shoulder. With a thumb spike. She cannot dress herself, put on her shoes, or put toothpaste on her toothbrush. She was doing really well for the first day or two. She finally had the meltdown. And boy was it a good one. Screaming kicking yelling pounding the cast on the floor. She even took my bread knife and tried to saw it off. And the tears. She was sobbing. She just kept saying "it wasn't my fault." I felt terrible about it. She kept screaming that she was going to get it off. Telling me I HAD to take her to the ER, that someone there would cut it off if I told them to. This was at about 8 or so. I finally got her to settle when I explained to her that no one would be there at night, and that I would wake her up in the morning and take her to the ER. That helped her settle. She just sat in her chair and cried. Once she was all the way calmed down, she told me she didn't need to go to the ER tomorrow. She could wait until her Ortho. appointment. on Thursday. She did ask me if I would call Monday morning to see if there were any openings before Thurs. I told her I would call Mon. morning as soon as they opened. I also think her Abilify started to kick in for the night. She is now calmed down eating her popcorn watching Family Guy. Here is hoping that she can hold it together until Thurs.