Ok so I told you guys I would ask about the Tourette's. Basically the psychiatrist said, yup, he meets criteria... except for the fact that we know it is from not only the brain injury but probably the prozac and concerta add to it... We are going off of the prozac! I am glad, it never really did what we wanted it to do becasue it turned out to be seizures. She said it is especially notorious for causing aggression in teenagers. so we will go off very very slowly because of his issues. We are switching back to short acting Ritalin...she said sometimes the Concerta can add aggression, not supposed to and that it is not as even a medication as another formula so we can try that during Christmas break, which ..by the way they said they may put him in their partial program for that. THey have low numbers during that time. She said there may come a time when becasue he is so sensitive to medications we need to put him in for a medication wash....she thought I'd have up to 45 days witout losing pay.... I think she is thinking of SSI not MA health insurance waiver money. I told her I got NO pay for while he was in the hospital and the PHN confirmed it with her supervisor. Can't double bill And besides, I am ok with going slow. I dont want him off concerta so it is not necessary to do that. We just will go much much slower in future. NO option for the seizure medication this time but now that we know.... I told her I dont think the lithium is working but she said it is not enough time at the current dose to tell for sure. And for the Tourettes...she said, just tell people that is what it is when you need to say it. How reasonable is that? So, when people dont understand what is going on...we can say that... when we dont want to muck up the system then we will just not bring it up.