So difficult child now has both these diagnosis's. In reading about the Pervasive Developmental Disorder (PDD) not otherwise specified, he has almost all of those behaviors. He had problems with eye contact when he was younger (He is almost good with this now, but it took work), had problems with personal space when younger (would want to hug everyone. Once again, this is good now but it took alot of work), does not do well with complicated or lengthy directions (I simplify things and give them to him in steps), does not understand facial expressions or body language, has major problems with give and take in conversations (he thinks he should just talk and everyone should listen. lol), is very black and white and rigid with his thinking. I read a fact sheet on a website about how to make communication easier with a child on the spectrum, and I do all of them. I am going to print it out and take it to family therapy to give to the therapist so she will realize I DO know what I am doing and I have tried many interventions. He also has shown traits of bipolar disorder, the mood swings. He can be really manicky (extreme irritability, pressured speech, racing thoughts) and depressed (isolates himself, gets teary over little things, and once again the irritability). so I guess we treat each disorder? I will ask if he is doing speech therapy to help with communication at Residential Treatment Center (RTC) (I doubt it). I really wish they would do a medication wash so we could see which disorder was more pressing, needed more treatment. Would a medication wash even show that? I don't know. Any ideas? I am really concerned about how we will do having difficult child home. It has not been mentioned yet, but I know it will come within the next few weeks or month. I am probably getting ahead of myself here, but that thought has been most on my mind.