It has become completely clear that the cocktail of medication is no longer working. I'm not sure why this happened but the last 5 to 6 weeks have been just awful! difficult child is very irritable, nasty and explosive and we've had several violent and destructive episodes. We had to call the police 3 weeks ago - I knew that one was coming! They came and talked to all of us and recommended we go to emerg, which we did. We waited 4 hours to see a resident, who really had little to offer. difficult child was calm and tired by that time, so we were sent on our way. I thought perhaps this event might have some impact but it really didn't. Since then we have had to call a crisis line once, but should have called 4 or 5 other times. She's just completely impossible right now. So here we go again.....I have no idea what to expect and have to admit, I'm feeling a lot of anxiety about this! husband and I are maxed out and I can't imagine what will happen in our home, if she gets worse, as the medications are weaned. We are going to see the psychiatrist tomorrow and I plan to ask it an admission to hospital is possible, should we run into a situation we can't handle. Always looking for a magic pill, but coming to realize, there just isn't going to be one!!