We went to see the psychiatrist Monday. I put GB on the bus for field day, so that we would have a whole hour to focus on Hope. The social worker from waiver was late. The psychiatrist was not happy. She said that deliberate aggression was different then rages. It was a personality trait and doesn't respond to medication. The social worker from waiver wanted more time to implement services. The psychiatrist agreed and added more clonodine to Hope's day. It went from 1 X to 3x a day. She warned medication does not work on non raging aggression and she doesn't have much hope it is going to help. Both the Psychiatrist and the Social Worker made it clear to Hope that she could not continue to bite.
I asked Hope to leave the room and then asked the psychiatrist what she has seen in the last eighteen months she was been treating her. She didn't want to answer, but I pushed. Her answer was the Hope was severely mentally ill with Reactive Attachment Disorder. She also said she saw no signs of Hope attaching up to this point. She
advised us to get an attachment therapist. I am on six waiting lists now and touch base with each attachment therapist at least once a week. I may have to look into a two week intensive because we are running out of time. The pyschiatrist said if the clonidine
doesn't stop the aggression, and she had little hope that it would, the hospital is necessary. We go back in
two weeks ( The Dad's birthday) to make a decision.