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[quote=Anonymous]My son is falling apart in 6th grade.

I mean really falling apart - his psychiatrist just asked me to put him on Zoloft, but I'm afraid to do it because of the increased risk of suicide. I'm seeking a family therapist who relates well to boys and understands issues that come along with ADD, encropesis and control issues, and high intelligence.  I think a family therapist would help my son feel less like there is something "wrong" with him and the family therapy should help my husband and I with better parenting strategies.

Can you recommend a family therapist in NW DC or close in MD burbs who also takes Blue Cross Blue Shield? I've found some good names in the threads, will follow-up with them but any quick recommendations with insurance too would be really appreciated.

Since last spring, my son has progressed from saying, "I hate myself" to "I want to kill myself" to, just after Christmas, "Here's my favorite Christmas gift. I want you to have it because I'm not going to be around much longer."

Now that said, I don't think he's at immediate risk for suicide (he's a bit of a drama queen which is part of the problem) but I am watching him closely and am finally going to get a full blown neuropsych evaluation, which we had been putting off because of cost.

He's also suffering from intermittent encopresis, which of course does a number on self-esteem. He's been withdrawing from after school activities and friends and avoiding overnight events.  The encopresis had cleared up last spring but has recently reoccurred. He HATED when we checked up on him re the encopresis, as it seemed to have resolved, but now that it hasn't, we're having to go back to the very basic steps we took last year -- which he also hates.

The psychiatrist said we needed to give him something to have more control over...he was sitting there when she said that. He turned that into "more control means give me a Nintendo DS, let me eat sugary foods, etc" so we said no to that ...are are really watching our language with him, trying to be more encouraging (yes, I've taken PEP classes!) and still searching for what a good example of "giving him more control" would be. Yes, I'm following-up with the psychiatrist -- this all has happened just this week.

He's in a regular MoCo school, in all advanced classes and his grades are either A or Z, basically. With a few exceptions, he either does the work, takes the test/quiz and gets an A, or he forgets to turn in projects and gets Zeros or Es.  I met with the teaching team at the beginning of the school year when he first started getting Cs due to organizational issues. I explained that he was being treated for ADD but we have no official 501 or anything. The teachers and counselors were very warm and responsive and have tried to help him binder checks, organizational checks, etc. That worked and he was back up to getting straight As but since December almost all of his grades are Cs, Zs, Es, with a few As thrown in.  I haven't re-contacted the school counselor as yet, instead I've been emailing with his teachers, but the counselor is probably the next step.   We didn't apply to GT/LD middle school. I called MoCo and they said if he's already in 6th grade, that ship has sailed.

I feel like I'm rambling here...maybe all I need is the counselor names, but honestly, there is so much great sharing on these boards, I just thought I would put this out there...Thanks in advance for reading and for any thoughts/insights on resources that might help or just your own stories would be greatly appreciated.

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