kt attacks another resident at Residential Treatment Center (RTC) & loses any & every priviledge she has earned. The incident occurred as the treatment team was meeting to coordinate in home treatment plans & respite. The entire team was there & of course, heard it all. Kind of brought a reality to our in home help - I asked them if they still thought they could handle working with kt. therapist & I both agreed that as discharge day is nearing kt's anxiety is going through the roof. As services aren't set to start until Friday afternoon (very specific time frame) discharge will not happen until then. psychiatrist, in the meantime, increased kt's prn seroquel until discharge. kt called tonight complaining that she couldn't breath. She needed to go to ER. I spoke with staff - the agreed upon plan (as she wasn't blue in the lips, her pulse was okay, etc) was a cup of chamomile tea & a warm bath. Staff called me just a few minutes ago to let me know that kt had calmed & fallen asleep. I believe discharge is still planned for Friday - will have to check in with psychiatrist & therapist tomorrow.