I have been visiting this site on and off for quite awhile now and have received encouragement from afar but now, I am at a real loss. My difficult child has struggled his whole life. Last year we just wanted school to be done and over with. We had a pretty good summer with very little issues. School has started again and just 2 days into it, the SW is calling with problems. He is 15 almost 16 and can't function in an social setting. He is back to sleeping in class, then gets angry when the teachers call him on it, and now he has started cutting himself. (over a girl). I don't know how to help him and it breaks my heart to see him go through this day after day after day. He only is in class 3 hours (ei classrooms) a day then has skill center the rest of the day. The SW at school works constantly to find solutions for him but he just refuses to comply. He has been in therapy but we quit by mutual decision. Ryan refuses to help himself. He takes Abilify and Lexapro and that helps with the anger issues (as long as we don't miss even one dose!) I guess I need some suggestions on how to help him and how to help myself. I can't do another year like last year and really don't know what to do. any suggestions?