Since we got back DQ's official diagnosis, I've been doing tons of research on DMDD. I conclude that she is not DMDD. I've read the list of criteria in the DSM-5, and she doesn't fit the bill. Further, the recommended medications for DMDD are stimulant, as it should be treated similar to ADHD. So tell me why they didn't change her medications, and she is still on psyco-tropics? I will be calling a NEW medication doctor. My theory is, if she is truly DMDD, the stimulants should work. And if not, this will be a way to rule that out. She will be getting the oral swab for chemistry testing. Not that I think these Docs give a crap!!! I also learned that a lot of Dr's are giving the new diagnosis, so as to not give them the Bipolar tag. I understand why they are doing it, because BiPolar (BP) became the new ADD and the increase in diagnoses went up 4000%. But that doesn't mean it's always right. Just because you don't want them to be Bipolar, doesn't make it so!!! AND... in working with the in-home therapist (who is great) DQ has a set of treatment goals. I have demanded a date for each of the 3 goals to be met. I'm tired of hearing, "I'm working on it" I want to know when I can expect to see change. Either, she will complete the goal, or we will call it a fail. So we set goal dates. Then it was up to her therapist and I to decide what happens should she not meet the goals. There are a couple options here. She could go to Commonwealth Challenge. Basically a 6 month boot camp for troubled teens run by the National Guard. BUT it's voluntary. If she says she doesn't want to do it, they won't take her!!! UNLESS she is ordered by the court to complete the program. There is a long term residential treatment center that I've already talked to. They said she sounds like the perfect candidate. It's not voluntary. But her funding for the program would have to be approved by a state run board. There are also a couple of shorter term treatment centers. Funding would also have to be approved by the same board. And now for the kicker. The therapist talked to her supervisor. They don't think the board will approve funding for her. Because they will compare her to kids who have committed serious crimes. Kids who repeatedly assault their parents. The ones who might be strung out on meth. The ones who run away on a weekly basis. I inquired about calling Child protective services, and saying this kid is so bad, I fear I may beat her. They said CPS would take Itty Bit too!!! And then the therapist said, "And honestly, I think it would do more damage to DQ, to send her away. She'll feel abandoned. We want to do what is best for her well-being." I looked at her and said, "Yeah? When do I get to worry about what good for her well-being?" And pointed to Itty Bit who was happily riding her bike around the court. I am dead set on calling the police over any criminal actions. I keep a log of threats and extreme behavior. But I am seriously scared. I'm afraid I am going to snap. I'm constantly on edge. Always waiting for the next blow out. And so help me God, if that child hits me or Itty Bit, I don't think I will be able to hold back from beating her a** !!! And... I'm angry that the system has put us in this position.