difficult child had a therapist appointment after school. He was almost manic like; couldn't sit still, couldn't listen (I asked if he had received his afternoon medications at school; he said no but without hearing from the school nurse I didn't dare give them late 'cause I didn't want to accidentally double dose). Long story shorter, he ended up becoming upset and threatening and leaving the session (just into the part of the waiting room). We let him have some time on his own back in the room to calm himself down. Now to the insight part: I was talking to therapist about the possibility that the county program might transition him out. We were both saying how that would not be a good idea. However, we have to prove he is not in danger of an out of home placement or hospitalization. I explained that without the respite we receive and his recent violence it could possibly mean a trip to the hospital; she agreed. difficult child heard this and thought I said he was going to the hospital; he came out very upset and started to leave and then started to cry. I was able to calm him and even let me hug him and I explained what I had said. He totally turned his mood around. On the way home I was telling him how the only times we would put him in the hospital was if he was a danger to himself or others. Told him I knew he would never really want to hurt us. Then I showed him the scars on my hands from where he used to pinch me. He was very serious and asked if he really did that. I replied yes and that I wasn't telling him to make him feel bad but to help him understand how he used to have such little control but needs to show more control now that he is older. He asked if it hurt when he did that to me and I said yes it did. I also told him how each time he had had been hospitalized it was because he was hurting someone and did he understand that couldn't happen. He replied yes. I also told him I was worried about him being hurt that in trying to defend myself what if I had thrown him off me last year when he was punching me and accidentally hurt him. He said it would be his fault, not mine. I said yes but I didn't want him to get hurt and would feel bad. Some of this seemed to sink in for difficult child (as much as it can) and he was extremely nice to me for the rest of the evening, nice like I haven't seen him in a long time-if ever. We even made tortillas together and he was nice the entire time.