kt had a complete & total disconnect this evening resulting in self harming behaviors. Suffice it to say kt is home tonight with a severely sprained wrist & possible concussion. After her PRN finally kicked in an admit was off the table. Fine with me - don't care to go that route just yet. Will if I have to - not tonight though. Simply too tired to sit through a 10 admittance process. In the meantime, a call was put into psychiatrist & he will be seeing kt on an emergency basis tomorrow. CM was informed of the situation this evening; Integrated Listening Systems (ILS) worker rode with us to the hospital - I sent her home after the medications kicked in for kt. Trigger, you ask? Really no clue - have never had a specific trigger from kt when she is at this level.