I have been off line licking my wounds for a few days, but feel I can now type the chain of events from late last week to my friends here on the board. I had been posting that difficult child was having a rough few weeks at collaborative day. There are two other boys in his class who have been ganging up on him with verbal abuse - name calling, etc. He was having a hard time dealing with it - and said the teacher was flat out refusing to deal with any of it - telling him to "stop tattling" and to "work it out", etc. I had called the director of coll. day twice last week due to circumstances. I told him that difficult child seemed to be under an enormous amount of pressure - was beginning to only have negative things to say about the program, etc., even though at no other time in his past has he ever not wanted to go to school. I told him that it was my feeling that if something did not change that it was not going to end well. Also, the new doctor has been weaning difficult child off the seroquel slowly and upping the lithium to see if it would help. Reports from counselors were that they were seeing improvements with difficult child's ability to be successful at counseling, but that he was becoming more agitated in class and p.e. with peers - DUH!! (sorry, hate that expression, but . . . ). Well, Thursday I get a very early call at work to go to collaborative day. They say difficult child is very agitated and is becoming physical with staff. Discouraging to say the least, but nothing completely new, so while I am upset, I begin my 45 minute drive to school for yet another "search and rescue". On the way I cry, talk to myself and pray to calm myself down. By the time I reach the city, I have told myself that I can deal with whatever happens and that we will be okay. My rhino skin is perfectly in place and I was as calm as could be expected. As I am nearing a busy intersection, I hear a siren - a city police car is racing through the intersection - lights flashing, siren blaring, etc. It turns toward the facility, driving something like 80 miles an hour. At this point, all of the blood rushes out of me - I have to remind myself to breathe - my fingers are tingling. I drive the final mile to the facility with dread. When I pull up to the building, there are 3 city police cars and the campus security vehicle parked up front. I know now that I entered the building in shock. I was crying before I got inside. People were talking to me and I wasn't answering. I was shaking so badly that the doctor hugged me and they gave me a glass of water, which they then took from me because my hands were shaking and I was spilling the water. I didn't dare ask if he was okay. I was listening to them tell me what had happened. It was just as if I had predicted the episode. difficult child was being harrassed - teacher held him back from p.e. - the whole thing escalated and culminated in difficult child physically attacking everyone he could get his hands on. By this time, the police had escorted my now calm difficult child to the emergency room. I still had not seen him and although they told me he was fine, I still could not figure out how that could be the case when there were so many police officers. I was told that the facility's procedure is to call the police for an escort, but I sure wish someone had told me. I explained to the staff that driving up to that building was like rounding the corner to your own home only to have it surrounded by police tape and law enforcement vehicles. I truly thought that something "fatally wrong" had gone on. I had to concentrate on my breathing to make sure I was still doing it. husband was already on his way to another city for a VA appointment 2+ hours away, so I made a call to secure someone to meet the bus for easy child after school and headed to the e.r. difficult child was okay - sort of. No broken bones - no bleeding, etc. But, tests and bloodwork showed he was at near toxic levels of lithium and was borderline dehydrated. Labs also showed that his thyroid functions are being compromised, etc. He had a full psychiatric evaluation, but by this time was calm and after fluids and something to eat, he was calm and rational and they decided not to admit him to psychiatric hospital. We were advised not to give him any more lithium and to bring him back for more labs Friday morning, which I did. Lithium levels (after 24 hours with not medications) were back in the therapeutic range. doctor advised on late Friday that she believes difficult child should come off lithium all together. He cannot return to school until after a team meeting to be held on Tuesday afternoon. She said we could give difficult child smaller dose of lithium over the weekend or we could not give him any, since he was going to have to be taken off it anyway and he had already been 36 hours without it. husband and I chose to not dispense any more lithium and have spent the weekend waiting for the other shoe to drop, but it hasn't. I know that there is still some lithium in difficult child's system, but so far we haven't seen any difference in him at all. If anything, he seems a bit more composed and articulate. The other thing the doctor wants to discuss at the team meeting is the possibility of sending difficult child to a facility where they will do a complete medication wash to find out what his baseline behaviors are and to do further neuropsychologist testing. We told her that we would be willing to look at the information and discuss the option, but that it would be a last resort for us. I believe the nearest facility of this type would be more than 6 hours away and I have no idea how long a process that a complete wash would be. The idea of it makes me ill. So, that's where we are. Sadly. I'm sorry this has turned into such a long post, but man, it sure feels good to type it out. Thanks for reading.