difficult child had been having a really good day. I have been telling him for quite a while we need to sit down and write great grandma a thank you note for his birthday gift. He kept refusing. I told him we needed to stop putting it off and he could dictate to me-I would write it or type it for him. I wasn't expecting anything elaborate. Well he decided to get mouthy and started in with his name calling. When he called me an idiot I told him he was going to lose his game boy for the night and if he kept it up it would be longer. Guess it was the wrong thing to do because he just lost it and punched me hard in the head (I have a nice bump ). husband had to restrain him as he kept trying to get back to me. We gave him an extra Loxapine which did seem to help. I'm really bummed because he has been doing so well and I even posted about how he said he doesn't do violence anymore. I'm hoping this is just a blip and things go back to no more violence. We do have a psychiatrist appointment. on Wed. and I will bring it up then. It's interesting how things had been so much more peaceful (physically) and then this-it takes you back in an instant.