Hello Everyone, I am new to Forums and Support Groups, infact this is my very first post to a forum ever I did a lot of reading before joining and I think this is a very helpful place. My difficult child is 13. He has Tourette's + (Plus), ODD, ADHD, Learning Disability (LD),and a previous seizure disorder where he was having mulifocal partial complex seizures till he was around 8 years old. Although he has never been diagnosed with anxiety disorder he is very anxious. He feels that the only person who loves him is me even though he is surrounded by love. He is mostly a very genuine, loyal, empathetic loving person. He has been in and out of school his whole life because he would act out or simply refuse to engage in any type of learning at school. I have homeschooled him off and on and fund him to be very agreeable and eagre to learn - this is not the case at school. Over the course of several years he has been on a myriad of medications and been involved with numerous children's services which have all failed. The problem cited by all who have been involved has been that my difficult child does not believe that he has any issues and that he is perfectly normal and therefor can not even describe to anyone why he is in whoever's office or whatever program. My "current" issue is that my difficult child is cutting himself when he is overwhelmed with feelings of sadness or rejection. Those feelings usually come after a rage attack; sometimes within hours and sometimes its the next day. He says that he feels as if he wants to kill himself but that he does not want to kill himself and that the cutting makes the stress go away. He has been brought to the ER twice in the last 3 months and both times he asked to go but then refused and continued to harm himself right in front of me and so I had to call Emergency Services to assist. When he is brought to the ER he then goes back into a worse rage than previous and has been restrained and given cogentin and haladol IM; which settles him. The ER and Child psychiatrist on call do not believe that he needs immediate intervention and he is sent home with me. He has a regular Child Psychiatrist who is wonderful and very open to suggestions that I make as we have been at this for nearly 9 years. Im not sure that I have any one particular question, what I am looking for is suggestions or other's experiences which I might be able to explore to help my difficult child; not just around cutting, but coping skills, medications, behaviour modification, etc. Here's Hoping.