He trailed so many medications when he was younger to arrived at abilify & tenex. I don't know what good could come of a psychiatric hospital stay, also i'm with kaiser and i think they are pretty cheap regarding that, if it could be done on an outpatient visit. He's always been destructive so it's nothing new, but it's not usually outside the home. Hopefully it won't be outside the home ever, or if it is, after 18. Most recently he tried low dose of celexa for depression that his counselor thought he has (I dont), but even low dose he seems to sleep so late in the morning we tapered off it. Didn't see any improvement in his behavior while he was on it, even though he said it helped when asked, i wasn't convinced. I know the dr. is going to ask if we could give it in the morning, but the problem with that is we can't give any medications in the morning before school because that is when his is most oppositional. The bus comes early. Many times husband calls me at and says difficult child refused to get on bus.. Ugh.