Yesterday difficult child had psychiatrist appointment. For some reason difficult child will not say anything when we are there. I asked a lot of questions. He is lowering his dose of Lamictal back to 150. that was when he was at his best. Because of the horrendous reaction to Lexapro and remerom, psychiatrist doesn't want to treat the anxiety. He spoke to difficult child, and difficult child would not talk. We talked about school. I told psychiatrist that the eight grade teacher ASKED for him, said he was a great kid. psychiatrist told difficult child that is great, "now you can let your brain work rather than your mouth". Now mind you, this is the spec. ed teacher that asked for him. I do not know who his teachers are for his core classes. When we were about to leave, I asked psychiatrist what will happen when puberty sets in. Will it affect the medication dosage? Will we need to adjust it at that time? difficult child started to cry. He looked at me and said, "I can't believe you said that" and he left. When I got to the car, he was crying and yelled at me for mentioning "puberty". I asked him why. He said all his friends have gone through puberty, lower voices, bigger bodies...but not him. I need to keep reminding him that he is a year younger than all the kids in his class. He was very upset and told me never to mention that again. I asked psychiatrist what exactly he is treating him for. I know he wrote bipolar not otherwise specified. but never really mentions it. psychiatrist said insurance companies and schools fail to accept ODD as a real diagnosis. So, to get around that he puts bipolar not otherwise specified. I asked if the ODD will get better as he matures. He said it could, but more than likely he will be an angry adult. Angry adults and drugs/alcohol do not mix. Now I am worried.