They faxed the psychiatrist's report, her recommendations, and the results from the one test the Ed Spec gave difficult child. I'm still working on getting the Ed Spec full report and recommendations for IEP- but I need that quick. Anyway, psychiatrist's report answered some questions but raised others- 1) She diagnosis'd him with Adjustment Disorder. She ruled out Conduct Disorder because she said his "acting out" was secondary to the AD- he has trouble with (basicly no) coping skills for psychosocial stressors and handles it by self-destructive behavior, misbehaving at school, and breaking the law. (I thought that would mean CD was comorbid) 2) She ruled out Bipolar because she said his symptons were not suggestive of Bipolar and that he does not meet the criteria for it. (Really?) 3) She said he needed a New tdco to deal with AD and coping skills for stressors. She says it should be cognitive behavioral therapy and psychotherapy (this will surely get the MST guy out of the picture YYYEEEHHH!!!) 4) She said he should stay on a mood stabilizer until this therapy is in effect. She said the mood stabilizer is probably maintaining the mania but he might also need to be back on prozac to help with depression for a while (but isn't that bipolar???) 5) Once he has effective therapy, she recommends slowly coming off all medications She said she's known difficult child's regular psychiatrist a long time- through professional working relationships. Any chance she really thinks that difficult child doesn't experience mania at all but she just doesn't want to be that blunt about it in a written report that regular psychiatrist will see? What do you all think of this? I mean, it's obviously good news if it works- and she had ALL history, previous assessments, everything, and spoke to regular psychiatrist. I do know that she told psychiatrist she thought difficult child should have an anti-depressant added back. She's one of the best in the state and heads a mood disorders clinic. She did mention in the meeting, though, that she doesn't like formal diagnosis's because they can lead to trying to make one fit into a mold and that too often they stick too long when they shouldn't. Oh, the Ed Spec had given difficult child a test for ADHD. The results say he can't be given that diagnosis because 50% of answers met ADHD criteria and 50% were extreme in opposite direction. (my words of course) Well, this one didn't shock me because when difficult child had full neuropsychologist testing done 2 yrs ago, several of the many test came back wierd like that, too. The Ed Spec has a copy of those tests and report so I guess it's no wonder it's taking him so long to figure out what's going on in difficult child's head!! Has anyone else ever seen this? What is it indicative of? When the regular psychiatrist mentioned bipolar (not pertaining to testing results) I did think maybe the results were that way due to rapid cycling or being in a mixed state. Thoughts, comments, questions, suggestions??