DF,
Hi and welcome to the community. Your post found me thinking back to a lot of very bizzare and frightening behaviors in my son. My son is now 18, but his first hospitalization was at age 6 for chasing the neighbor boy down the street with a short handle grain scythe screaming "I'll f'ing kill you." to another 7 year old child who had just wanted to play with difficult child and his friend. When we got him to the ER - he was just as calm as punch. I checked in, told the nurses that he had "flipped out" and excatly what behaviors we witnessed.
I was treated very badly that day by several nurses who looked, whispered, motioned with head gestures and nods. There I sat for over 3 hours with the most angelic, "mommy look" type child ever born. Four hours into the "wait" and with no money for snacks he flipped out again. This time he demolished the childrens waiting area in the ER room and had to be taken to a private room and handcuffed to the bed, where 2 armed police told him if he didn't stop kicking and trashing the ER room and bed they would take him to jail. At that point all the "I'll kill you you #(#)*()ers' began. Nine hours later they transported him to the state psychiatric hospital in a van meant for police K-9s. I cried as they handcuffed him in the van and follwed them sobbing.
The behaviors I had witnessed before that were: Hitting, pushing, shoving, biting, name calling, bullying, lying, taking possessions, hiding, pooping pants, sleeping in his closet, sleeping under the mattress, sleeping between the bed and wall, sleeping with a butcher knife, having horrible nightmares, using any surface for frustrations, beating things with a ballbat, hitting the dog, pinching the dog, pushing the dog, teasing the dog endlessly (we have pit bulls and he had to get bit in the face twice and have his nose broken for it to stop) our psychiatrist said Yup....hours long rages, yelling, screaming, curising to the point I thought he had Tourettes, breaking stuff, not listening, AT ALL....horrible behavior in school, horrible behavior to me - broke my nose ina basket hold too. Blacked my eyes in a basket therapeutic hold. Killed a mouse, killed his hamster and then SWORE TO GOODNESS he had NO idea how she died...and my list goes on and on and on.
My son? I think it's nothing short of a miracle he's still alive. We were diagnosis and over diagnosis and underdx and I have quite a reading on many types of psychotic disorders...and still we have no real answers as to what's wrong with him. He's ADHD, SEVERE PTSD and ODD.....he's not cruel to animals anymore. He's stopped hitting people becuase as you get older - you hit, you get punched back - he had his jaw fractured and wired shut. Or you go to jail.
Some things they do get "tough love" via the world over - but I drew the line at the animals. We kept him away from small children which today is amazing because he lives at a foster home that has 34 kids in daycare. He's great with them now. And good with animals.
I held back EVERYONE in the world from giving him what "they felt" he deserved for being mean. I wouldn't allow them to "give it back" to him. There were days when I wanted to just go ape on him and say "SEE HOW THIS FEELS?" but never did. I dont' know if a diagnosis will help you - but I CAN tell you that Ritalin and the other medication you mentioned (stims) made him SO mean NO ONE could handle him and he would be threatened to be kicked out of Residential Treatment Center (RTC) several times until they took him off stims. They did NOT help.
In your daughter's case you have to consider also HORMONES - and PMS...and possibly PMDD. Read up on PMDD also. Talk to her obgyn and find out if there is a better mood stablizer to help her THAT could be alot of her problems. Also if she's had a traumatic event in her life - she could be suffering from PTSD. That itself can manifest into quite a beast.
Does she have any UGH outlets - anything to hit or punch or take out her aggression on? Does she have a place to just SCREAM or get it out of her system as a learned alternative to her striking people and animals.
We had to consider giving our furry children up because of Dude and chose to keep eyes on them instead 24/7. The day Dude left for good - it took 6 months for the pitbull to stop walking around with his tail tucked. Now they love when the big brother "visits" but we still watch them closely. My other dog weighs 140 lbs and well he stopped taking Dudes crud a long time ago - so there were little pinches and slaps and tugs...to the point that I finally told the big dog YOU HAVE MY PERMISSION to defend yourself. When Dude asked what that meant? i said
Well - the pit at 70 lbs - nearly tore your nose off and this dog is twice his weight - so I imagine if you slap or pinch him again - you're going to loose a face or a hand. MIRACLES happen and finally the big dog was left alone.
I think she needs an OBGYN appointment.
I think she needs an outlet for her anger
I think she needs therapy to learn that it's OKAY to be angry but here are ways to COPE that are better than being a JERK....
I think she needs people to stop concentrating on the WHAT is wrong or what makes her tick. Dude is 18 and I still have NO idea why he's so angry. I may never know. But start working more on the HERE are solutions to generalized anger - I wish I had done that sooner with Dude.
Hugs
Star