difficult child is 10 years old, 4th grade. Academically behind, emotionally immature, has definite anger issues. She was adopted, bm smoked, drank and did amphetamines until the 6th month of pregnancy. difficult child was 6 weeks premature and weighed in at 4lb and 13oz.. Very active toddler and suspected ADHD in preschool. She was diagnosed ADHD by neuropsychologist and put on adderall for focus at school. Helped somewhat and we added a mood stablilizer Depakote and Abilify to even her out from afternoon crashing of stimulant. Psychiatrist suspected early onset bipolar also. difficult child has an IEP in place, gets extra tutoring at school. We also pay for extra tutoring one day a week at a learning center that specializes in kids with ADHD and other disablities. difficult child is explosive, angry and whiny. She is manipulative, argumentative, lies, hits, kicks and is verbally crappy at home. She has threatened to kill me and herself. She has an unusual need to be the center of attention. At school, she holds the behavior in and doesn't let it show to others. So she can control it! She exploded over no coffee ice cream before dinner and it turned into a huge row. Emergency phone call to therapist who could hear her raging. I took her to the police deparment that night after she calmed down for a scared straight talk. Not sure how effective that was. We go to counseling therapy once a week, sometimes improvement, sometimes not. My sister in law who is a mental health counselor has give me the advice recently to detach and save myself from this child. Report her to the police. So has therapist. So I have been getting really good at it, but it really goes against my mothering instincts. husband, easy child and me are at the end of our ropes. We don't like difficult child. Our family is on edge and we have no idea what it is like to be normal. This board seems like a good place for me to be right now. Many of you have it much worse than me. We have an appoinment with new psychiatrist on Friday. There is so much more going on with this child (bipolar) perhaps than just ADHD if that is even a correct diagnosis. I hate the thought of going to the psychiatric dr and just giving me a pat on the head and new medications to try. This kid needs some type of serious evalution and services!!! I am afraid of getting my hopes up for help. Thanks for listening and I really find solace on this board.