So DS had been doing a little better since seeing the psychiatrist (along with his therapist). We had tried generic prozac, but that increased suicidal ideation, so she took him off that and decided just to treat his insomnia. That had helped some, but he still has violent episodes. On Sunday, we were driving on a major highway and he started attacking his younger brother. I pulled over, and had to open up the trunk of the minivan and go through that to physically restrain him. He scratched my arms so badly that it looks like I got into a fight with a tiger. Then he got out of the car (on the grass by the highway) and acted like he couldn't hear me at all and had no memory of what had happened. Today, he freaked out again in the car and so I pulled over. He was in the passenger seat and quickly reclined it into my 9 year old's legs...causing her pain. He's been diagnosed with Generalized Anxiety Disorder (GAD) (General Anxiety Disorder).... and has ODD and possibly PTSD as well. Our insurance has a 30% copay and I'm not sure I can afford another ER visit or inpatient evaluation. Yet I don't know what to do. We all need a break from him, but he has no desire to go anywhere. How do you force a kid to go to camp or a boarding school against their will? Is the pretending that you have no memory of what happened and no ability to hear an act? Coping mechanism?