Hello all. I am new. Glad I found this SO happy I am not the only one going through this. So a little bit about me and my family. I am 26 years old and a stay at home mom married to husband also 26 years old. We have three children difficult child: 5 years old, currently diagnosis with PTSD... behavior escalating... doesnt respect people's "personal bubble", constantly defies me, screams at the top of his lungs, aggressive with me and little sister, doesnt like to be wet or dirty (will change clothes multiple times during the day), doesnt like loud noises. When I ask him why he does it he tells me that his brain tells him to. We also have a daughter: 2 years old, speech delay ( in speech therapy) but sweetest thing ever. And DS: 9 months old. I have difficult child in counseling for about a couple months through our local mental health provider in our County. They are frustrating me to no end because they keep telling me that things need to change at home before they think about medications or anything else. They are not really helping me with anything. I feel like I am at my witts end. It sounds so bad but its much easier for me and my two youngest to have a good day if he is at my moms during the day. I get so on edge and so exhausted half the time. I have an appointment tomorrow with regular doctor and I am going to explain what is going on and ask for a referral for a neuro psychiatric evaluation. On my side of the family there is Bi-polar, Depression (I have that), ADD. Two of my nephews have autism. And as for his bio dad.... I know he had some serious mental problems but I dont know what they are.