I think you have been given excellent advice by the others. I also agree with Smallworld and Marg that I would talk to the current psychiatrist first to see if she thinks that the current medications might be part of the problem. It is also hard where I live to find appropriate psychiatrists, counseling services, etc. for my difficult children. Also, if you have to travel more than 60 miles to appointments, this is going to wear you out even faster...
I know... I was not exactly in your position, but I had an infant and two very young difficult children. Just packing them up for the ride for difficult children services was a chore in itself!!!
Hang in there!!! I know your difficult child might not have the same diag as my difficult child 1, but once difficult child 1 was put on a high enough dose of trileptal, his raging decreased dramatically. Without trileptal, I truly don't think I would be able to keep difficult child 1 at home at times!!!
The right medication can make a world of difference!!!
You have alot going on. I know having a difficult child is hard enough, but when you also have 3 other very young children, it can be H-LL!!! It is really important that you take care of yourself. Is there any way you could even get a half hour a day to exercise??? Exercising definitely is a lifesaver for me!!! Without it, I feel as though there are times I would fall apart...
in my humble opinion, taking care of yourself needs to be a top priority!!! Starb wrote an excellent post about this not too long ago... I think it was posted in General. I can't remember the date. I'll try to find it for you when I have a bit more time.
Thinking of you and sending you cyber hugs... WFEN
P.S. I found Starb's post. I'm horrible with computers so I can't give you the link here, but she posted in general on 1/18/07. The subject is Selfish Parent or Survival Parent. I hope you get a chance to read it. WFEN