I am reaching out here to see if anyone has any advice for me. I have posted here a few times before and am amazed at how wonderful this board is. Short re-cap, I have a 10 yr old boy, not sure of dianosis but has had several since 2 yrs old, Pervasive Developmental Disorder (PDD) not otherwise specified, ADHD, bipolar, Obsessive Compulsive Disorder (OCD), anxiety disorder etc. Currently become much worse the last year. He has always always had a violent/explosive streak, but somehow we (me andhis stepfather) have managed things, encurring some bruises and bites along the road. He has been declining though and this year I had to finally take him out of school because even though he has an IEP, his behavior was so explosive and destructive that I was getting calls every other day literally from school. Am homeschooling this year. He has been doing terribly since June, very agitated, upset, super super emotional, hysterical, very bad Obsessive Compulsive Disorder (OCD), fixations, obssessions, aggression, explosions, attacking me and stepfather, yet times throughout all this when he is FINE, pleasant, sweet, happy, But the bad stuff is just starting to outwiegh the good. Anyhow, he has started to have these regular explosions which involve becoming agitated over something, usually a consequence from me or not having enough time to finish a computer game or any form of dealing with something he doesnt like, and the agitation will start to mount and mount and mount and meanwhile I dont know what to do and at times become upset at him myself making things only worse of course - anyhow, the agitation will then reach a point where there is no turning back and you can see the explosion around the corner. He will just attack and it is literally like watching some animal on the TV attacking in defense. He will latch on and bite til you are bleeding, will rip my hair out, kick, me, throw anything he can at me, tear up the house, on and on and on, this lasts for 2 hours, maybe 3, then the calm down takes about 2-3 hours. We have had about 5 of these since June. And they are happening more recently. Tried medications for only like the second time in his life this summer. EVERY medication has either been a disaster or done nothing to help. We have been through about 5 medications since mid July! He is very sensitive. I often wonder now if his problems and these attacks are more psychologically driven than psychiatric. Maybe thats why medications only seem to make him worse? So on to the point here, and my desperation. I have NO help! He has a seriously crappy team of docs, a lame neurologist who never has anythign to say, a psychiatrist and a therapist who are covered by his medicaid as he and we do not have private insurance. If anyone is familiar, there is nothing of worse quality than the public mental health system. None of them really help us. In crisis, which we are in now and have been all summer, I am just told to take him to the local kids psychiatric hospital which is known to be a nightmare hell hole and i will not take him there. We live in a small city in SW FL, I have no money for a real doctor with some credentials and a history of actually helping children, I have just about no family to turn to, my husband is of zero use and I am actually hoping he will leave us because he is making the situation worse. Point is, I dont know what to do! There is no help for people in crisis unless youre rich. I feel that if I admit him to that hospital he will suffer trauma from it, its poor quality, he has bad reactions to medications anyway, and it will start a cycle of my son being in and out of hospitals. The saddest part is that he has been fine, he has been ok and functioned very well a lot of his life. What would you do in my shoes? Does anyone have any advice? i am almost essentially alone save for one sister a few hours away from me. I am sorry for all the melodrama but I am being beaten up literally by my son and living in a state of constant panic and dont know what to do. Thank you to any advice at all.