I had our 4 week evaluation with my difficult child daughter's psychiatrist yesterday and left his office feeling very frustrated. The week before I had a conversation with the therapist (who sees us weekly and in my opinion knows us much better) about the possibility of trying some medications on my difficult child for her impulse control and behavior misconduct. She had me and difficult child's teacher fill out a Conner Scale and bring it to the psychiatrist appointment. HE DIDN'T EVEN LOOK AT THE SCORES!!!! He didn't care about this test for her at all. He is EXTREMEMLY conservative (which normally I like) and said that we have her Generalized Anxiety Disorder (GAD) under control with therapy and can do the same with the behavioral part. UGH! Meanwhile, difficult child has no friends, her self esteem is plummeting and she is not a happy kid. I am at the point where I feel that the psychiatrist and therapist's differing disciplines are not in difficult child's best interest. All the psychiatrist does is meet with us for 15 min every 4 weeks, the therapist sees us for an hour once a week. I feel like she should be calling the shots, she sees my desperation, she knows our family so much better. Does anyone else have a similar situation? Additionally, the psychiatrist is male and my difficult child daughter has never been fond of men outside of our family (things with dads, uncles, grandfathers are fine) and will never fully trust this guy. I like him, in his own right he is a very good doctor, I just wish he would listen to the therapist a little bit. He calls the shots but has the smallest amount of insight and information. psychiatrist also told me to avoid forums, message boards and the internet because people will tell me things and send me into a panic. I explained that I need the support and am intelligent enough to discern pertinent info from psychobabble. I don't mean to berate the psychiatrist, he is a good doctor and clearly keeps difficult child's best interest at heart, his approach is just uber conservative and I am a "take things by the b*&&s" to "git er done." I just want what's best for my kid and I want to see her happy -- having no friends at age 9 in 3rd grade is not making her happy. Lastly, we are in the process of getting a neuropsychologist evaluation. Probably not for a few weeks but at least the ball is rolling. psychiatrist said not to rely too heavily on it; and said that her clinical signs and symptoms will prevail in deciding how we treat her. Another reason I was feeling frustrated. Just looking for advice from some more experienced parents. . .