DS12 has ODD/ADHD/Anxiety/Depression. He had neuropsychologist testing done just over a year ago. Due to my husbands job we have moved 3x in the past year but this last one was a positive move in DS's eyes (hopefully we will be stable for a few years). The moves have also not helped with continuity of care in both therapy and medication management. He is currently taking 50mg Zoloft/3mg Intuniv/40mg Ritalin LA. Also taking Synthroid, Growth Hormones, and has a Supprelin implant (precocious puberty). The Zoloft was started in March after his anxiety levels were affecting his ability to function. No issues titrating up to 50mg over two months. It wasn't quite enough to tackle the depression, hitting himself, and negative self talk but we were getting ready to move so the old psychiatric wanted to hold off. The 50mg had helped his anxiety. We moved and in our new city (across the country) wait listed for several psychiatrists and FINALLY got an appointment. Zoloft increased to 75mg 3 weeks ago which has been a nightmare! Total crying meltdowns, hitting himself more, general negative talk, talking about wanting to harm himself and suicial talk. We dropped him back to 50mg and see the psychiatric again next week. I refuse to go back up to 75mg of Zoloft but 50mg is not enough. He is paranoid that kids at camp/school hate him which ends up becoming a self fulfilling prophecy. He still has meltdowns and is short fused. He has thrown things at two different kids at day camp in the past two days when angered. He is no longer responsive to CBT either. What is the next step? Would we try another antidepressant or do we move onto something else? Since the Dr is new we do not yet have any kind of rapport, I would like to be armed with info and experiences from others. I just want to make sure that whatever the dr proposes isn't totally out of standards. I hate that so many others are going through this but so thankful I found this forum. This can be such a lonely journey.