I've been lurking for a few days and after the last week, I feel compelled to introduce myself and hope for some guidance. I don't have all the abbreviations down yet, and I see others have posted info in signatures, which I can do soon. Our family is a blended family; my husband has two boys from his first marriage (17 and 12). They are an absolute handful, as they were abused by their mother and stepfather before we had custody of them. The 17 year old is currently in a group home, as he molested both the 12 year old and my 8 year old son. Together, husband and I have two boys (8 and 5) and a daughter (2). While the older two children no doubt have conduct disorder and give us plenty to deal with, my 8 year old is the subject of my concern tonight. As he was my first biological child, I didn't really notice at first that anything was different about him. He suffered from ear infections from 6 months to 10 months, when he finally had tubes in his ears. During that time he was a poor sleeper, both at night and during the day. As he got older I considered him to be a normal toddler/preschooler who had difficulty sharing and listening. When he entered kindergarten, I suspected ADD. Finally, in first grade, he was put on Straterra and then Lexapro for depression. After determining that Straterra wasn't working, he switched to Metadate. He is incredibly bright and his focus in school improved. However, he was very hard to parent at home. Last summer, things escalated, and his counselor suggested we see a psychiatrist. We've had no formal testing done...medications have just been thrown our way. He was first on Risperdal and now Seroquel. He just had an appointment last week, and that's when the switch began. His behavior this past week has been HORRIBLE! I have no control over my son. I've been reading book after book (I just downloaded "The Explosive Child" on my iPad and look forward to beginning it tomorrow). I happen to teach at the same school he attends, which is a blessing and a curse. Today I was out with students at a function, and when I returned, I found he had been place in in-school suspension. His teacher is a dream come true, and I know it was the very last thing she wanted to have done. She works so hard with him, but he just EXPLODES and there is no bringing him back down, until he finally comes down on his own. Tomorrow I happen to have an appointment in the same city as his psychiatrist is located, and we're taking him back in. What should I ask for/demand? Something clearly has to be done here. He's never had any formal diagnosis, but something is quite clearly wrong. Thanks for reading...wow, that was long.