Well psychiatrist3 (our new one from the psychiatric hospital) has set up weekly report calls. So I called, he was busy. Well he actually called me back!!! We discussed how K is doing, medication wise and emotionally. I told him I think she is doing great! She has slid a bit, but nothing like before. We have had a few episodes, a bit of violence. The roller coaster was at about an 8-9 prior to psychiatric hospital, now I would say it is about a 5. Not perfect but not the worst. We are increasing Lamictal ,Strattera & Prazosin. The tough love approach is working really well for K, she strict boundaries with a soft touch. She really needs to know what we are and are not putting up with. The rewards and charts just do not work with her. It is kind of a pain when I am not in the mood to deal with it or just really want to give in, but I am seeing progress, so I know I have to stick to it. And she seems happier! Less anxiety also! It is so nice to have a psychiatrist who listens and calls you back and is actually in the picture!!! We are crossing our fingers that we may not have to move!!!