Well, let me just say that my first appointment with this psychiatrist was NOT a pleasant one! Of course, to start things off on the wrong foot, M put up a fight. He started out in a "high" mood this morning and I had to wake him up from a nap to take him and he was like NO WAY am I going to the DR! Ugh. So, I bribed him out the door with TWO marbles for his reward jar and McDonalds. Out the door we went. Once we got to the Dr's office, his tune changed, however. I had to drag him into the office and then he started melting down...hiding behind chairs...bolting out the door and down the hallway...I had to barracade the door and he was hurting me trying to get the door open...he finally hid under some chairs and I sat in a separate room. The Dr FINALLY was ready to see us AN HOUR LATE and by this point, M was tipping chairs over in the waiting room, endagering other patients. Ugh. So, I'm trying to give the psychiatrist a full history and he keeps cutting me off and telling me to skip over this and skip over that...jump ahead to this...jump ahead to that... Says he wants to take M off the Strattera because he's not clear on why he's even on it...well, if you had actually ASKED about any of M's symptoms, maybe you would have heard about ALL of the ADD symptoms he has. I explained that while he may be having increrased meltdowns the past few days, it's for good reason...the past few days he has had HUGE stressors added...Day Program and this Dr appointment and he doesn't know it yet, but he'll be changing schools. Other than that, I think the Strattera has been helping him. I'm hesitant to take him off of it. Then he says he wants to up the Seroquel. Ok...I don't know enough to argue against that. So, we're upping the 200 mg a day to 400 mg a day. I asked him if he'd ever Rx a PRN for extreme rages and he said no...they never work (funny...they work in the psychiatric hospital). He said the time they take to kick in is too long. I'm thinking M raged for FOUR HOURS yesterday...a PRN probably could have saved me at least 2 of those hours. Maybe I'm just out of my mind. After all, he is the dr, not me. So, then I ask if I can ask psychiatrist a question privately, away from M. So, we go back to his office and I ask him if he has any suggestion for when we go to the PPT meeting at the new school tomorrow and he freaks out...what can I do? This is what he says to me: "I have a grim scenario for you...your child does not have leukemia...he's not dying...but you brought me a very mentally ill child. He's had two very recent inpatient stays and he's very sick. And it's been brewing and building for a very long time and this is the first help you've gotten him. So, you've either been ignoring it or you've been in a very serious denial!" Oh My F*&#ING GOD! Did this man just actually say this to me! I swear to God. I still can't see straight! Had he actually given me the time to take a complete and thorough history, he would know that NO, he has NOT ALWAYS BEEN LIKE THIS...not THIS EXTREME! Yes...he's always been "O.D.D."...obviously...we sought an evaluation when he was 3 years old for goodness sakes...but he has not been in crisis for 5 years and we've just been ignoring it! This man just accused me of watching my child mentally deteriorate before my eyes and I just figured heck, i'll get him some help now...why the heck not? OMG. I am livid. Completely LIVID. How can I trust this man? How can I work with him in the care of my child? He didn't bother to take a complete history! He didn't LISTEN to the whole picture and he's just going to dole out medication like it's nothing. THEN THEN THEN....this is what he says to me.... "YOU MAY HAVE TO HAVE A KID WHO IS SEDATED AND DROOLING FOR A WHILE JUST TO GET THROUGH SOME TIME FOR A WHILE" OMG...did you just say that to me? AGAHGHAGHAGHAGHAGHAGHAGHAGHAGHAGHAGHAGHAGHAGHAGHAHGAHGAHG Why is this man the ONLY pediatric psychiatrist on my insurance plan in a 100 mile radius???? AGH! Then, after M destroyed his waiting room, we left and M bolted and hid somewhere in the office building for about 10 minutes until I was able to find him, drag him out to the car, restrain him so I could get the van door to close, and drive home. I was so upset, I couldn't think straight. I stopped by the bank and made a deposit in the ATM...I'm not even sure if I punched in the correct numbers. I came home and cried all over my lunch.