Well, I feel much better about things now. difficult child looks better than he did last week, he has lost about 5lbs, but that is hard to deal with as some of it is the fact he adamantly refuses to eat lunch. At this point? I think he needs to learn to eat real food, I was battling that at home too and I am tired of it. As long as he does not become skeletal? Then I am not going to push that one. He looked much better this time, no bags under his eyes and was much more engaged. psychiatrist said he seemed more wound up to her, but I thought he was better. As of yesterday they stopped the abilify and he is on 300mg of seroquel. If he seems as wound up to her next week, she will add a small dose of seroquel in the morning. I asked her if she thought he was more Pervasive Developmental Disorder (PDD) not otherwise specified or more bipolar not otherwise specified, and she answered more Pervasive Developmental Disorder (PDD) not otherwise specified. I agree. The more I read, the more I think that. I asked about the medication wash, and she said they do not like to do medication washes untill a pt is stable, it usually goes better than if you start when they are unstable. That makes sense. She asked me if I thought he would be better without medications, and I said no. I think without medications he would not be able to function at all. I think at the next appointment I will ask if he is doing well on the seroquel if we can start lowering the stimulant, as they increase anxiety and tics, and I think both of these are becoming increasingly problematic for him. I really don't want to stop the lamictal, it is so hard to get on. She asked if I thought the lamictal helped,and I said I think so but how would I know? He has been on it since 3rd or 4th grade(he is now in 8th). I told her he has been on Depakote with severe agression and Lithium started the same thing, but I realize that with time and the changes kiddos go through that sometimes a medication that did not work before will work. I think his therapist is really green. In our session difficult child started perserverating and catrasophizing, she tried to redirect him to no avail. I let her try for a while, then I took over and got him calmed down. She is supposed to be an autism specialist, but why in the world is she using words like catrasophizing with him? I asked him if he knew what that meant and then she explained it. She used the word cope and he looked at her and said I don't know what that means. He said that about a few other things too. I am going to make a list of things he needs to work on for home, that DO NOT involve us triggering him, but him not getting triggered. I am also going to write down what I want to ask psychiatrist. s2bx is not allowed to speak to difficult child unless his therapist is present, I guess he called and was calling the Residential Treatment Center (RTC) and f'ing prison, that if difficult child was not on the f'ing medications he would be fine. He got belligerent with the staff too. Therapist called him and talked to him about it and he says he does not remember it. That could be, he is off his medications as his psychiatrist fired him and he has not found a new one. I think it is a great idea. therapist was concerned as difficult child was trying to calm s2bx down, and difficult child has enough to deal with. Sometimes all you have to do is give a person enough rope to hang themselves with. I think meeting psychiatrist and having a session with therapist without easy child there was helpful. I don't deal well without meeting the person who is prescribing my son medications, and just meeting and talking to psychiatrist helped. therapist, well, I am not too sure about her. I am irked with the neuropsychologist, she did not mention anything about Pervasive Developmental Disorder (PDD) not otherwise specified, and that was supposed to be her specialty. difficult child's therapist here at home said that you can get another evaluation if you contest the results of the first one, and I am going to see if I can get him a neuropsychologist while he is in Residential Treatment Center (RTC). I think the one who did the other evaluation? Is not so hot. therapist at home knows another therapist at the same organization as the np who did difficult child's evaluation, and she is going to talk to her. I will talk to np's suprevisor and complain if that is what I need to do, but we do a lot of work with that organization so I don't want to tick people off. difficult child does his social skills groups there, and I think that is helpful for him. Thank you for all your support. This is such and awesome place, this stuff is hard for anyone to wrap their head around unless they have been in similiar circumstances.