Well we went to a new psychiatrist today and laid everything out on the table. We told him she lies, rages, bedwets, refuses to do anything that doesn't fit into what she wants, wants to control everything, hits, kicks, screams, etc, etc, etc. Unfortunately, my therapist and previous pscyhiatrist did not get records to his office today which practically sent me into tears. That is another discussion altogether. The doctor seemed very thoughtful and talked with us and questioned difficult child. I told him it was imperative to get her help now before she hurt me or herself. She almost threw a coffee cup at me this morning, but when the coffee came flying out she got distracted and ended up not throwing the cup. I sat in a psychiatrist office 2 years ago and feel as if we have gotten nowhere with difficult child. Our whole goal was to get her stabilized by the time we hit puberty and at 10 1/2, time is running out. As husband says, the most important item that came out of the conversation was she needed to be treated more aggressively. So, we are getting a full CBC workup and possiblly looking into a sleep disorder clinic also. Most likely a change of mood stablizers by Feb 5. We are increasing Ablify tomorrow. He felt she looked anemic, so iron supplement could be in her future. If CBC looks normal, we will go ahead with new mood stabilizers and go from there. If we can't get her stable soon, then a 30 day inpatient treatment was discussed. A plan at least for now. Thanks all for listening. Ps Bipolar unspecified, ADHD and ODD are now in the official diagnosis.