Hi, I will be having my annual review with my supervisor this week. She is very supportive of her workers and family issues. difficult child has been so difficult for the last year. I have definitely cut back my productivity at work but am still considered a good employee (used to be a super employee!). I have a lot of freedom and work at home several days per week and can mostly make my own schedule. I am very senior and my job is very secure (for which I am most grateful). We plan to start difficult child on medications within a month (finally got husband on board). She will be highly resistant. I think this may trigger a hospitalization. Between Tdocs for husband and I and easy child 1 and now psychiatrist we already do multiple appointments a week that come out of my work time. I have to schedule these mostly when difficult child is in school/camp as it is too hard to get sitters. I would welcome thoughts/experiences on how much info I should give my boss in advance or at the time if I need days or weeks off from work. Some days I think it would be good to let my boss know that I am dealing with serious issues at home (perhaps just letting her know that one of my kids has a chronic illness and that I need time for doctor appts etc) and other times I think I should not say anything and keep muddling along and "keeping up the facade". Thanks for any input.