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This sounds like a volatile situation that needs some professional intervention in my opinion.
Your daughter needs to be seen by a professional to get to the root of her destructive behavior, because I can almost guarantee without intervention these behaviors will escalate.......
You need help and support also, this is exhausting to deal with.
I urge you to seek out a smart, board certified Child Psychologist and/or Child Psychiatrist to evaluate her.
Your daughter is young, and there is hope. You must seek help for her because I imagine she is having a lot of mixed emotions she doesn't know how to deal with appropriately.
Here are a couple links for you to explore that may help you find a Dr. and some resources in your area:
http://www.aacap.org/cs/resource.centers
http://www.nimh.nih.gov/health/topics/child-and-adolescent-mental-health/index.shtml
Take care, and write back anytime!
((HUGS))
-KathleenView Thread

IMHO, a person who lies often, has some underlying issues....trying to tease out why, or what is motivating this behavior would most likely take a professional - either a Child Psychologist, or Adolescent Psychiatrist.
Here is an interesting link I found ...
http://www.aacap.org/cs/root/facts_for_families/children_and_lying
I hope this help, take care,
-KathleenView Thread

It is great your daughter is able to verbalize her feelings.
I have 4-daughters and my youngest was diagnosed with a mood disorder at age 7, so I do know a lot about stuff like that.....
Sorry to ask a bunch of questions here, but its helpful in giving some suggestions / ideas.
Does your daughter seem a bit off to you - different or changes in mood??
Was she an easy, happy toddler (from 2-4).?
Does she play sports or is she active?
Is the family unit intact (mom, dad, sisters)?
Have you moved or any "big" events lately?
Is this daughter the oldest, or where does she fall in age?
Thanks !
-KathleenView Thread

*I am sorry*
You have a very, very difficult situation and you need some professionals on your team to help and guide you.
So, what does his pedi say about all this??? What is the therapist he sees say? Is the therapist a Child Psychologist?
IMHO, you need a smart, skilled, board certified Child Psychiatrist to evaluate your son also - besides the neuro.
You mention the lack of community support - this may be true depending where you live. If you write back with your city/state of residence I will do my best to send you some links of organizations that may be helpful / support to you.
Take care Mom,
((Hugs))
-KathleenView Thread

FAMILY BASED THERAPY. It can make all the difference between a struggling blended family and one that works more cohesively together.
Take care,
-KatView Thread

How does this boy behave? Does he see his psychiatrist regularly?
I think it depends how he is doing mentally/behaviorally. Obviously before meds, he was having a difficult time - is he doing a lot better now?
If possible, you could go talk to his psychiatrist who may help you understand why he needs 4-medications to stabilize him.
-KathleenView Thread

-KathleenView Thread

Yes, I have heard of this before......here is a helpful link to explore: http://aacap.org/page.ww?name=Problems With Soiling and Bowel Control§ion=Facts for Families
I think it is wise to seek treatment for this young boy, it sounds like he has been through a lot.
I would make sure the professional he sees is a psychologist with a Ph.D., and preferably a male one, so your son will feel more comfortable and open up easier (hopefully).
Another tip - interview the Psychologist first. Set up an appt. and go visit with the Dr. as a potential fit. Tell them about your step son and what he has been going thru. Then use your best judgment if you like the Dr. and think he is a good fit for your s-son.
I had to interview at least 3 psychologists before choosing one for my daughter. I know this takes more time and effort, but your s-son will greatly benefit from a professional who is a good match.
The best to you and your family!
-KathleenView Thread

I urge you, to urge her parents to find her a top-notch Child Psychiatrist.
http://www.aacap.org/cs/root/child_and_adolescent_psychiatrist_finder/child_and_adolescent_psychiatrist_finder
Take care,
-KathleenView Thread

I think you are right to be concerned.......it sounds like there is something internal going on with your son. His fears, bedwetting and defiance / anger need to be dealt with before they get too far out-of-hand.
I would highly suggest finding a smart, board certified Child Psychiatrist to evaluate your son.
I would do your homework and make sure its a really good Dr. - because all Dr.s are not created equal, and you want one who can get to the root of your son's behaviors and help him to feel better.
A good Psychiatrist will do an evaluation over several visits - they will visit w/you and your husband alone, your son alone, visit with you all together, give you a ton of paperwork to fill out, as well as his teachers.
Then after compiling all the information, they will give a recommendation of treatment.
Any Dr. that will see your son for an hour , then diagnose and suggest treatment is incompetent in my book.
Here is a link to explore:
http://www.aacap.org/cs/root/child_and_adolescent_psychiatrist_finder/child_and_adolescent_psychiatrist_finder
Hang in there and do some research, I know how difficult and trying it is to have a child with challenging behavior problems.
(((Hugs)))
-KathleenView Thread
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