a magic wand. Argh! Last night was horrible at the our house. It all started when difficult child was playing with the computer and I asked him to take his medicine. I brought it into him with a glass of water so he wouldn't have to get up. When he wouldn't take it I gave him the choice of taking the medications or getting off the computer for the night. He still refused and he was told his choices would end up costing him the computer for quite awhile. He then took his medications but threw the empty ceramic container (the ones the pills had been in) at me. It missed but at that point I told him he needed to be up in his room. Of course, he didn't want to go there so he was yelling, screaming. I just repeated that he needed to go upstairs.Then he took off towards his room grabbing a hot/cold pack around his arm. I was worried with his mood that he might ruin it so I told him he needed to put it back. He went up to his room with it and I did follow. I asked him again to put it back. I then did try to grab it and he was angry so I thought I should back off and not engage him (probably should not have gone upstairs with him). I told him he could have it and deal with the consequences later. He then threw it so I picked it up. At that point he came up behind me and tried to pick me up. I told him he needed to leave me alone so he did put me down. I told him I was going downstairs and he said if you want to go downstairs go and then shoved me from behind. I ended up at the bottom of the stairs and in a lot of pain. husband was yelling, easy child got involved and I ended up having to go to immediate care with a friend (we didn't trust easy child with difficult child-she was too angry with him so that's why a friend and not husband took me). They x-rayed my right ankle, left foot, and tail bone. Thankfully no breaks but my right ankle is sprained. Not horribly so but I am wearing an air cast and they gave me crutches (the crutches I get to ditch already). difficult child was upset at the time and very worried but I don't know how much was worry for me and how much was worry he might end up going to hospital or us calling the police. He did say he didn't mean to push me down the stairs, that I would just lose my balance a bit. I believe that; he doesn't think through to see the possible consequences. I ended up staying home from work today because of my ankle (will go back tomorrow) and kept difficult child home as well (husband and I were unsure how he would handle the school day). difficult child was basically a pita but no violence. At one point he did say he wished it had been him and not me that fell down the stairs. Luckily he does have a psychiatrist appointment tonight at 6:00. I did call ahead and talked to the nurse to give the psychiatrist a heads up on things that have been happening. husband has been very quiet. I think he is worried about the possibility of difficult child being hospitalized again. I told him I called ahead to the psychiatrist and the nurse said if it is coming down to a safety issue they may have to look at hospitalization. When I told husband this he said that he didn't feel it was a safety issue. I told him I did and he said until that point he didn't feel it had been (he was thinking more of an isolated incident not that what happened was safe). I did remind him of difficult child trying to take the keys out of the ignition a few weeks ago and all of the threatening at school. husband feels the last hospitalization was such a waste and did nothing. I agree so I can totally understand his reluctance and am not at all sure it is the right thing either as I think it the last time did little to no good at all. To be honest I don't think the psychiatrist will feel hospitalization is the best idea right now either. Also we have lots of family plans coming up; this weekend (a trip to Michigan for his family's Christmas party) and my family coming for Thanksgiving. The Monday after that husband's dad is having a major surgery and we are all going to be there in Michigan so I think having difficult child hospitalized is difficult for both of us to think about right now. Not sure what should happen. I do know I am being very careful around difficult child right now as he seems so explosive and impulsive. It's the impulsivity that gets him every time. Don't know if switching up medications is a possibility or will help. Do know that I'm getting very tired and wish I had a magic wand to make everything better. Sorry this ended up being so long-just needed to get this out-thanks if you made it through this far.