So I finally just got the results from difficult child's last psychiatric evaluation which took place in October. This psychiatric evaluation was given by a Dr. the CMO has been working with for quite some time. I have been asking the CMO to forward the report to me for at least a month now. I finally just got it and I'm blown away! It appears that difficult child has officially been diagnosed with Bipolar - Mixed Episodes, Impulse Disorder, and Conduct Disorder with Antisocial Traits. While I'm relieved to finally have this diagnosis I'm also sad because unless difficult child continues to get the help he needs he's not going to be able to live a stable life. I have known for years that something was seriously wrong and had mentioned bipolar numerous times. Not sure why it took this long for the diagnosis. Anyway, the psychiatric evaluation goes on to say that difficult child is very angry, has questionable morals, and has a hard time controlling his impulses. There are also some very specific things in there about difficult child wanting to harm me and him feeling that he can't come home because of that. But then there are times when he contradicts himself and says how much he wants to come home and that things will be ok if I would let him come back. It's very very sad. It also says that the recommendation for difficult child is "that he remain in residential care for the time being. He is at risk of aging out of the system and being left to flounder on his own. Efforts should be made towards building a level of independence for this young man prior to him reaching the age of maturity. Enrollment in an Independent Living program would likely be the most beneficial path for him, as he needs to become prepared for surviving on his own in the world." ^^I couldn't have said it any better! I just hope the CMO agrees when it's time to find him this kind of placement. At least now there is an official diagnosis and recommendation and I have all of this on record.