I'm very new to this whole world and I would love some advice from some seasoned parents. I know this is incredibly long and wordy, but I would love and take anyone's advice on how to deal with my situation. Here is my difficult child's background: My middle son, T, is 6 years old and currently staying in a Residential Treatment Center (RTC) after a weeks stay in an acute treatment center. What lead up to his psychiatric hospital stay was a 4 week long rage (destroying the house piece by piece and banging his head against the wall ) that started slow and built to the fact that he was no longer safe in our home. We had small issues with him for about a year(he was not a problem at school at all, I spoke to his teacher yesterday and explained what was going on asking if maybe she withheld some information and she was surprised at how far this has progressed), but we started therapy exactly 4 weeks ago and that seemed to be like putting a stick into a wasp's nest and stirring. In the past, we'd get stung every once in a while, but not a full on attack like the last month. To be honest, I thought we were dealing with an extreme case of anxiety when we first went to the therapist. I guess I couldn't have been more wrong. T has always been a difficult child. He has always been moody. He was born with acid reflux that was a mess. husband and I were able to ease that with a diet change. In the last six months we have eased up on what he can and can't eat wanting him to make some of the choices so he feels like he has some power. He didn't walk until he was 20 months old. He also produces no human growth hormone. He receives a shot for that every night. He has grown 6 inches in a year and a half. He is also hypothyroid and is on synthroid. T is scary smart. He has a memory that is incredible. He was painfully shy last year in school, but by the end of the year had made friends. He has been in Occupational Therapist (OT) and PT when he was younger (last session he was 3yrs old). He became more aware of his short comings physically this last year. When we first started therapy, his TDR suggested that we begin a reward and timeout system of parenting. He also said that we need to start to unemotionally parent him. This turned into a disaster, with T spending way too much time out because every time we would bring him out of the room he would destroy something else. It became like a game, with no winners. We had previously been doing a talk him down method that was taking a majority of my time that I no longer had because of a new baby. Our house was in complete lock down mode. Locks on all doors, alarms on outside doors, locked cabinets, nothing on the walls. We looked liked we were moving. After two weeks of this behavior, his TDR suggest we try a small dose of Prozac to ease the anger and aggression. It did the opposite and he became even more out of control. He never hurt anybody here, but did do some self harm things that were mild compared to some but scary just the same. That is when we took him to the ER who admitted him into acute care. That was last week. The Pyschologist there suggested that he has a mood disordered and started him on Risperdal on Tuesday. He said that he was hyperverbal and that his mind was racing a million miles a minute. He repeated over and over to us that he didn't think he was BiPolar (BP) but was showing the mania side of that. T is mellower. He is also isn't so void of emotions. He cried one night saying that he understands that his wrong choices lead him to where he is at. husband assured him that it was not all his fault and that we are not angry at him. The Licensed Clinical Social Worker (LCSW) at acute care suggested that we send him to Residential Treatment Center (RTC) for 60 days to "rebuild" our relationship with him and to help him learn more coping skills and that is where we stand today. When we checked him into Residential Treatment Center (RTC), it was not a comfortable feeling. The residents there have issues that seem far beyond T's issues. There is no one on one therapy but a lot of group sessions. His therapist made it clear to us that he would be on vacation all next week so the soonest we would be able to met with him would be the 22nd of Aug. I in the mean time bought the book "The Explosive Child" and read it cover to cover last night. It is an exact description of T. I told my husband that it might be me grasping for straws, but I could really see this working for T. We were able to sit down and pin point 4 of T's triggers. One being his older brother. We have also requested a neuro. phys. examine and they are booking 30 days out. So here are my concerns; 1) He is now on a medicine to calm him, but we still don't have a behavioral model to follow that will help with day to day life 2) I question whether he even needs to be on this medication 3) I question if this Residential Treatment Center (RTC) program is really what he needs, no one has sat down and talked to T 4) It scares me to bring him home not knowing what to expect. My difficult child is a wonderful, fun, bright boy who I'm afraid might never come back to us in spirit but showed a side of himself that made me so frightened. 5) school starts on Monday and although they will work with him, I feel like I'm letting him suffering somewhere that he doesn't need to be. 6) I don't know where else to go from here and I have never been so uncomfortable parenting my own child in my life. Please help me make sense of this.