Ok so yesterday was a big day for me because I had plenty of distressing matters that I discussed with psychiatrist regarding difficult child....whats your thoughts on her feedback? 1. I was worried about him telling me that he wants to cut himself....during a meltdown. She said the reason behind this is because he struggles to connect and express his emotions he wants to SEE and feel it....its more about literal and visual and less about depression..... 2. I was worried about him hurting us....scratching, kicking exct. She said its because he feels disconnected to his world around him and mind blindness that he wants to express his feelings with behaviour....like hurting. He struggles to connect with the people oround him feelings and reactions...... 3. I was worried about hipersexual behaviour and his obsession with blood and grusome movies and games. She said its part of Obsessive Compulsive Disorder (OCD) and that is inherent to Autism Spectrum Disorders (ASD)...... 4. I wanted to know if he would actually cut himself? She said yes, some kiddos on spectrum do cut and hurt themselves, we need to put away sharp objects! OMW 5. I asked about him feeling like a sceleton....not having a brain and to much energy. She said its almost like a psichotic experience....but not really....depersonalization....we might use Risperdal.....but last time Risperdal made him very aggressive! 6. I was worried that he might not have Autism Spectrum Disorders (ASD) but Reactive Attachment Disorder (RAD).......She said not totally...he might also have Reactive Attachment Disorder (RAD), but the Autism Spectrum Disorders (ASD) is still there because with pure Reactive Attachment Disorder (RAD) he would not have mind blindness and the rest. 7. I wanted a full neuro evaluation and EEG, because I think he might have TLE. She said ok, but she knows more than half of Autism Spectrum Disorders (ASD) kids do develope epilepsy anyway....we will check for it, but is worried that bringing in another new person in the team might be to stressfull.....she upped his medications and said maybe we can do the full neuro assessment in 6 months time. 8. I was worried about Skisophrenia, Bipolar or antisocial personality disorder. She said no....all of the above, just confirmed her Pervasive Developmental Disorder (PDD) diagnosis! 9. I said I dont like using physical restrain. She said ok...try SI strategies rather.... She also said something about...."if we doesnt exist....he doesnt exist", but I cant exactly remember the context....something to do with hurting himself, our reactions.....cant remember..... Plan of action......carry on with SSRI...increase dosage to try and lower Obsessive Compulsive Disorder (OCD) and anxiety and later maybe try some kind of anti psychotic to just put some " glue" in his " seems"......Oh and carry on with ST, maybe Occupational Therapist (OT)....I thought some playtherapy might help him with expression of feelings, but again she is worried for developing resistance in him against to much therapy.....I might do some coulages and painting with him?