We had easy child's psychiatrist appointment. today. The psychiatrist was quite concerned with everything I told her. She had just talked to easy child's therapist and after talking to me she felt even more concerned. easy child's therapist was wondering about a mood stabilizer which was the same thing I brought up. psychiatrist agreed it is all very complicated with easy child. Feels there is definitely a mood disorder not otherwise specified, depression, anxiety. She said she isn't ruling out Bipolar but right now we don't see enough of the mania (although I did talk to her about the article SW had linked for me showing that it won't always show as what we think of mania) sleep disturbance, pressured speech. She wants to try increasing the Zoloft generic (doubling it) and if we don't see improvement or she goes back into how she was this weekend then she wants to try Abilify with easy child. I said but that's and AP not a mood stabilizer. I told her I thought mood stabilizers were usually tried first. She told me that about 5 years ago that was true but there is now more evidence out there that says it is better to start with an AP. I found that to be very interesting and yet when I thought about it until difficult child was put on an AP nothing we tried helped. She also told easy child that she can't skip any days of her Zoloft. When easy child admitted she sometimes skips a dose on weekends she said that can also have an effect. All in all, it was a good appointment. I hope this medication increase works, I'd like to avoid other medications but I also don't want to see her where she was this weekend. by the way, last night she just started talking with me and tonight she was quite the social butterfly for a short while. No apologies, nothing just back to her not quite so depressed self. Kind of strange. Thanks for listening!