Hi everyone. I've been missing for awhile bit am so glad to be back!! But anyways I have a bit of a dilema. I know my signature isn't up to date right now so I'm gonna give a little info. I took difficult child to a neuropsychologist this fall. He wrote in his report that difficult child is "emerging bipolar". psychiatrist took that info and changed her diagnosis fron depressive disorder not otherwise specified and odd to mood disorder not otherwise specified and odd. difficult child is currently on depakote (1000 mg total daily). a month ago psychiatrist added vistaril (I don't know the dose as she is at my sisters with her medications) to help her sleep. We went back to psychiatrist today and I brought up the fact that the vistaril doesn't help her sleep because difficult child can fight thru it and stay awake. psychiatrist says that her sleep problems are behavior and not medical because difficult child doesn't.WANT to sleep so I should take her off medications and let her sleep whenever she wants (she is 11, goes to school, and does not stay in her room reading as she tells psychiatrist she does-not to mention I NEED me time to recover). Then when I address the problems we are still having as far as her being mean to everyone, threatening her siblings, refusal to do things she needs to do,ect-psychiatrist says she doesn't know what to do because difficult child appears to enjoy being miserable and making others miserable!! I'm at a loss here. What did psychiatrist mean by that?? I am not going to just give up and let her make everyone miserable--but what can I do now?? There are no other pediatric psychiatrists locally that I'm aware of.