medications told the story....loud and clear. we have a new psychiatrist, and i say that with such relief it isnt even funny. in defense of the other psychiatrist's, he DID have more info than they did...but he's my new hero i have never, in my life, seen what i saw when she was on concerta. we did only 2 days at 18mg....by day 3, she by all rights should have been hospitalized. everything from not being able to string a grammatically correct sentence together, bizarre thought patterns, emotions changing every 10 min. or so, severe behavior and head slamming, paler than a ghost, exhausted, etc. not things you can fake, and not things any reasonable person could mis-interpret... terrified wasnt the word for me. "good" psychiatrist never returned my call (in fact, i think she finally did TODAY--this is 5 or 6 days later?????!) oh, and did i mention she's taking off the entire month of feb?? i was very lucky that i still had an open appointment for the original psychiatrist *I* made an appointment for and was able to scramble with insurance to get it covered. it was a THOROUGH appointment. he "got" her. mood disorder. period. i didnt feel the need right then to nail it down further--i'll deal with specifics next appointment. and he saw that the Autism Spectrum Disorders (ASD) stuff is not the issue, nor should it have impacted her like this. i could read on his face that my difficult child is the type of "better identified kid" who should have maybe not been "identified", but in the chess club or some other place filled with quirky people.. rx for abilify to start low, go slow with. case closed. he bluntly flat out said that until we deal with the mood disorder with necesssary medications, the rest arent reasonable expectations right now. and that sounds exactly right to me. i DO want to thank you ALL...the second, most important thing after the medication story was my parent report. i typed out everything i could think of since june...it was 5 pages long. overkill, i'm sure, but needed to be in black and white. (in fact, i made husband read/edit for me, and his one comment was OMG, she looks like a disaster walking...even HE didnt realize til he saw it all in one place) but it helped to tell the story way better than me sitting there trying to tell someone in a few minutes. i absolutely think it was one of the best pieces of advice i've ever gotten, and i want to tell anyone else new and overwhelmed to try to get your thoughts on paper....it really does help!