difficult child is a couple of months plus post IP treatment and continuing with OP program, support from PO, and 12-step program; he has improved. Except for one occasion, he has been substance-free and now can work on getting a better picture of what is going on with him (academic issues, anxiety, etc.). Thank goodness the extreme raging behavior with violence and extreme mood swings he exhibited months ago has subsided; it makes it much easier to communicate with him and for him to address the challenges he faces. Things are not perfect but are better. I am so thankful for the help from our county and associated programs; these have been the most effective to this point, in comparison to other attempts at helping him in the past.