I emailed psychiatrist who will now also be therapist the behavior/symptoms we wanted worked on with difficult child. They were things like improve his persistence, bossiness, rigidity, help with self esteem so maybe once he gets into middle school he will make good decisions. His reply was thanks. Looks fun. Did I overwhelm him? I am not sure. I know he has had a hard week, he had to call yesterday to change our appointment do to a sched issue, and then his secretary called because the scheduling issue (a class he teaches at the middle school) was canceled, so we got our appointment back. Sometimes his responses are very brief as he is busy, but I laughed at that one.