Really lectured difficult child today. psychiatrist is giving him one month to quit the pot and if the test is positive, or he skips out on it, the dr. will not renew the Concerta. (He said, you don't really expect anyone to believe you're sitting together in that room all day, not talking about anything, and you're just smoking cigarettes?! Ha.) He said that if difficult child didn’t have parents to help him out, Dr would just say, "Hey you’re 18, I refuse to be your doctor anymore. I'd drop you like that. Can’t mix legal and illegal drugs. You're using a legal drug for an illegal purpose, by doing both pot and Concerta." He tried to talk difficult child into Lexapro but difficult child still wants to believe that it causes suicidal ideation (a girl at school says she was on an antidepressant and had thoughts of suicide--that was a 10 min lecture and explanation by the dr) and he still won’t admit that the Dec-Jan slide was a bona fide depressive episode. The dr spent a long time explaining the diff between being depressed and a depressive episode ("Broke up with-my girlfriend, blew the English test, vs broke up with-my girlfriend, lost my job, fought with-my parents, didn't sleep, didn't eat, flunked 5 of 7 classes, started doing weed...") difficult child took his lithium tonight but refused the Lexapro. I guess he’ll have to go down that steep hill again to find out that everyone is right. I think a month is a long time to give difficult child to quit doing pot. I would have sent him for the urine test today, on the spot. But I guess the dr knows what he's doing. And wants difficult child to trust him instead of hate him.