Yesterday we had an difficult child's therapist appointment. After hearing all that has been going on she wondered if maybe hospitalization would be a good idea even though he isn't as bad off as the last two times he was hospitalized. She was thinking why wait until he is. Today we had difficult child's psychiatrist appointment. We filled him in on the violence and other strange behaviors. The other day difficult child told us he had forgot how to use the toilet for BMs. He has been sitting on the rim and getting his bottom wet. He was seriously asking what he should do-truly didn't know which I found very concerning. We also told him what therapist said about thinking he needed to be hospitalized. He said he was concerned with difficult child's irrational thinking. He would like us to try increasing the Topomax at home and if we don't see improvement within 5-10 days we will have to look seriously at putting him in the hospital. Hopefully we'll be seeing improvements soon. If not it looks like difficult child will be going into the hospital again.