The NP-psychiatrist we were seeing was a huge disaster. After becoming severely depressed on Luvox, then Buspar, her response was, "Maybe medications aren't the answer." I spoke my mind, and then cried for 20 minutes after I got off the phone. We saw a new psychiatrist Thursday who we both really like and who was very thorough. Her current diagnosis's are: psychotic disorder, anxiety disorder, depressive disorder, and of course the Pervasive Developmental Disorder (PDD)-not otherwise specified. This psychiatrist knows the NP-psychiatrist as they used to work together, and at the end of the appointment he said, "For the record, I think she definitely needs medication." He switched her from risperdal to seroquel because seroquel has been shown to help with anxiety in kids, in addition to mood regulation and psychosis. He has also added daily morning klonopin, as well as for PRN. difficult child is on homebound at school and that is a battle in and of itself. The teacher is flakey and has canceled more than once. They are absolutely against me being present to keep difficult child calm, so I told them that I expect homebound teacher is qualified to handle panic attacks and hallucinations. As horrible as it sounds, I'm not going to be available if they call because she's having an episode. They created this situation, they can deal with it. They need to realize what I'm talking about. I can't even go to bed before she does. And I've hit my absolute limit with them. And with about everything else. That's it in a nutshell. Sorry I haven't been around much. I'm busy tying a knot in the rope and holding on.