I am new here but by no means new to messageboards. I am at my wits end up my daughter(difficult child#3). Currently she is upstairs screaming that I am mean and she hates me. As much as it hurts me, I am able to just turn my back and walk away which sometimes stops the screaming. She was a preemie born at 26 weeks and had a brain bleed while in the NICU along with a whole slew of other medical issues. She has always been a difficult, high energy child. Easily frustrated and easily angered. difficult child's behaviours are numerous and include: Disrespectful talk to both husband and myself, aggressive with peers and adults, gets along with kids as long as they do what she wants, argues, will not do as she is asked, hits, bites and kicks us, lies, does something wrong and blames others, can't sit still, can't pay attention, talks non stop, destructive, spiteful, and quite honestly a nightmare to be with. She will be 6 in November and is going into grade 1 and is still wearing a pullup and peeing and pooping her pants. Her destructiveness is starting to run me broke!!! She has threatened to kill me and has told both of us to get out of HER house. She doesn't sleep much and has been up until 3 in the morning wide awake more than a few times and going to bed at night is always a battle nowadays. We took her to a dev. pediatrician a couple years ago who in turn referred us to a behaviour pediatrician that only works with kids that have mental conditions.He is able to prescribe medications but refers out for things like psychotherapy and B Mod etc. He diagnosis her with ADHD and ODD but was reluctant to trial any medications due to her age at the time(3 going on 4).She last saw this doctor in 2005 when we decided we would take a wait and see approach because we had trialed Ritalin and Dexedrine(at our insistence due to desperation) and both were of no help and actually had made things worse as far as rages, crashing and insomnia. We saw a child psychiatric in early 2006 who ruled out ADHD and ODD at that time. We have been referred back to this doctor to help make sense of what is going on. Our appointment is May 14th and it seems like years away. We are hoping to get an official diagnosis of ADHD and ODD and even more hopeful that the medications may work on her now that she is older. I wonder if a mood stabilizer might help her as well. I know of the side effects and the weight gain doesn't bother me too much since she is only at the 10th %ile on the growth chart for weight anyway. I am at my wits end and feel a little better getting it off of my chest. This is just an issue that my preemie message board can't fully answer.