I'm sitting here totally dumbstruck. difficult child just called and told about his appointment with psychiatrist this morning. After all these years of psychiatrists, neurologists, neuropsychs, psychologists etc. and hearing how he has traits and symptoms of this and that but not enough or severe enough or not impairing his functioning enough for a diagnosis, he finally got one now. Certainly not the one that would explain all his problems, more like something that has developed partly because he does have problems. And to be honest, rather devastating and guilt producing for me (I think I can already warn you that I will likely be whining and wallowing in guilt a lot over this here in future.) But still, it is a name for some of his problems. psychiatrist had evaluations which the psychologist/mental coach my son works with had done, neurologists opinion from earlier spring and of course he talked with difficult child. She thinks that while not very severe case, difficult child does have a PTSD, mostly resulted of being severely bullied most of his life in school. She recommends therapy as a primary treatment. Medication can be considered but right now it seems that may not be needed (and difficult child is against it anyway, he is concerned of side effects.) difficult child was given further appointments with psychiatric nurse and later with the psychiatrist to discuss and consider his treatment options. difficult child is not sure if he wants to have intensive therapy or not. He promised me to be open to all options and really discuss a matter during these appointments but I'm not sure if he is ready for it now. Funding will also be a question if difficult child decides to go with intensive therapy option. Supportive therapy will be available very cheaply for him but intensive therapy is more tricky. We have rather similar health care system as for example Canada. There is a public side and private side. Everything very serious is treated in public side and for that, it works well. Co-pays for patients are very affordable and if you are low income, you get social security for them. With less serious things you often have to wait or be inconvenienced for public treatment and that is where private side comes to play. If your kid for example start to have symptoms of ear infection in Friday night, your options are to go ER and wait till they have time to treat it (and of course all the more serious issues go first so you may end up sitting there for hours) or have an appointment to private doctor that night or for Saturday morning. To get a timed appointment to public side you would have to wait till Monday morning in most places. Or if that same kid has ear infections often and doctor suggests tubes, you will often have to wait for example three months to get them in public hospital and in private side you can get them in week or two. So many parents do take an insurance to cover also private care for their kid to avoid waiting and inconvenience. Because it is mostly for those minor stuff, they are not expensive, usually less than 300 dollars a year. When they came to market, there was very little limitations on them but now the new ones often don't cover therapies etc. Luckily difficult child has one of the old ones with very few limitations and we have kept it even when he grew out of children stuff. So it may cover also intensive therapy but it is little iffy and depends totally from insurance company doctors opinions. For public funding for intensive therapy you either have to have your ability to work or study to be in danger and therapy should be able to restore it and you get a funding from source that funds rehab, or you has to be really sick and funding comes from different source. difficult child is certainly not sick enough to get a funding from latter source, but it is also a question if his function is endangered enough for rehab funding. These appointments that are now lined up for him are also requisite for rehab funding so at least they put the process in movement if he does to go for therapy route. But it will be a question if difficult child situation is serious enough to get him those public funds either. He is after all functioning well right now, but psychiatrist had said him that if she plays up the addiction and behavioural issues side of difficult child's problems it may be enough. But that will be seen. If those funding options fail, it is possible that difficult child's team may help at least on some of it, but we don't have any guarantee or clear cut promise to do so. Just some vague talk about making it work out somehow. We did discuss about this with husband already before difficult child had his psychiatrist appointment and decided that we would pick up the bill, if it comes to that and if difficult child really wants it, but it will be expensive and I'm not looking forward to that. Sorry that I'm rambling but I really have my feelings and thoughts all over the place over this.