rm1976...I have never gotten the impression that Midwest Mom or anyone else here was trying to say that we should wash our hands of my SS. And a lot of what you said makes sense, however, my husband is not the custodial parent of SS and all final decisions about his medical care are made by his bio mom. As for his diagnosis and medications, his psychiatrist is a very good dr. and well regarded in the community. We trust in the diagnosis that has been made so far although we do believe he may have other co-morbid mental conditions, which time and therapy will reveal. Now as for his medications, I agree with you about the antidepressant and the stimulant, feeling they may do more harm that good. But SS has ADD and is doing terrible is school which is why the dr. added a low dose of Concerta. husband and I have our concerns about that but the dr. feels it is worth trying a small dose. Bio mom is a pharmacist, and she pushes her agenda to the dr. on what she thinks is best as far as SS's medications. And for some reason she doesn't want him on a mood stabilizer yet. She is in total denial about the diagnosis. husband can disagree with her and does disagree with her a lot of time time but like I said, she is the custodial parent, final say is hers alone. It is possible that what you said is true, that SS is not beyond hope WITH the proper help, but I am not sure he will ever get the proper help because although he has a good dr, bio mom pushes what she want as far as his treatment. She doesn't want him to go to juvie but she has done nothing the dr. has told her to do to keep him out of juvie. She thinks medications will fix him and medications alone are not going to do it. This child doesn't suffer any consequences for his behavior, and until he does suffer some consequences, nothing is going to change and his violent behavior is going to escalate until something bad happens. And then unfortunately the juvenile justice system will become involved. I am glad that things worked out well for your son, that is wonderful and I am happy to hear that. But my SS has threaten to kill his bio mom repeatedly, he has threatened to kill himself, he has made threats to me. This is a matter of keeping him and everyone else safe, not of giving up on him. We can't have him threatening to go get a knife every time he doesn't get his way, or to burn the house down while we are sleeping....we are not going to live in fear.