I have previously posted about my difficult child going downhill and losing his grip. He became really manic and sleep deprived almost to the point of psychosis (wouldn't even sleep with help of clonidine and trazadone). one week ago yesterday he was admitted to the psychiatric hospital. Our new psychiatrist's office is actually at that hospital and we had made the decision that he would be admitted from her office during our appointment. He ended up figuring it out at home and became violent. Actually banging his head against the kitchen counter, wrestling the phone out my hands and screaming "i'm not crazy!" over and over again. I finally called 911 for emergency transport. It was horrible. At the hospital they sedated him and he calmed down but was still fighting sleep. he held out his hand and said, "don't leave me." I almost lost it right then but managed to hold it together until he finally fell asleep. psychiatrist suggested full medication wash and long term (for that hospital) stay and I agreed. visiting hours are more relaxed than at any hospital he's been at but as you all know its just so miserable having him there. That sunday afternoon a few hours after husband and I left the head nurse called asking for permission to administer emergency medications. He got violent with another nurse and tried to stuff his pills down her throat! I can't even put it into to words... I talked to him on the phone an hour later and he was crying and begging me to come get him. Hung up the phone physically nausous. The next day during therapy therapist said he did apologize. He's gotten much better over the last week. A minor incident involving another boy there but nothing violent. This past summer we moved so we are starting at square one as far as services are concerned. County mental health has assigned difficult child a social worker to 'make sure he transitions safely home.' husband and I met her friday and she is living in la la land. seriously. difficult child will be discharged in about 2 weeks. In that time she will work with us and difficult child to develop a mutual expectation contract and a behavior chart that I will enforce. You'll be amazed at what boundaries and structure can accomplish she says. What!?! I already explained that difficult child does have a routine and this is more than a behavioral problem. Just look at the events of the last week. My son wants to 'be normal' but he can't. I also explained what we do at home. Each of our kids starts off with 30 mins of computer time and 30 mins of video game time. they lose/gain time based on a chart in our kitchen. I explained how this works wonderfully with the others but not difficult child and how sometimes I can't even go there with him. She says she'll give us the tools to sucess. She has not met difficult child yet (monday). She will work with our family for six hours a week. This whole situation has me speechless because she is completly out of touch with what our family is going through. Any suggestions on what to do??? My project for tomorrow will be writing her an email trying to talk sence into her. Thats in between trick or treating with the rest of the kids and visiting difficult child. I don't know how much more I can take. Thanks for reading this whole thing. I read on this site every day even though I rarely post because being busy/having nothing valuable to add. it gives me so much comfort knowing I'm not alone. Any suggestions/advice would be greatly appreciated.