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[quote=Anonymous][quote=Anonymous]OP,

You MUST have this child evaluated. Her behavior is not normal. My kids and other relatives between themselves have bipolar disorder, anxiety, depression, autism and severe inattentive or hyperactive ADHD, but they are not intentionally and consistently cruel. Your child's behavior reads like oppositional defiance disorder, which occurs in some instances of autism spectrum disorder.

If you're in the DC area, I highly recommend the Stixrud Group in Silver Spring, MD. Their psychologists are very experienced. A full neuropsych will last 2 days and about 8 hours and cost you upwards of 5K, depending on the battery of tests they give her. The tests are not the same for each individual, some will be added specifically to address descriptions of the patient from parents/teachers. They will determine which tests to give her in a two hour long conversation with you, plus questionnaires filled out by you and two of her teachers. They will also explain her test results in a feedback session, and write a detailed formal report, with recommendations for future management of any diagnosis, including school services and accommodations, targeted therapies, and psychiatrist follow-up for meds, if applicable.

Please call a psychologist's practice ASAP because the best ones have a few months of back-up and you need to address this before it gets worse. It will take years to fully understand what you can do with her, and what resources are at your disposal, once you have a diagnosis.

Best of luck. It's very hard.

[/quote]

I am the PP who mentioned personality disorder and shared a bit about my son.  I have to say that the neuropsych was totally worthless from a mental health point of view.  They wouldn't consider most diagnoses because of my son's age - he was 17 at the time of the last one.  When I shared that after a recent inpatient hospitalization that the working diagnosis was bipolar, the evaluator admitted that they thought so but wouldn't have even mentioned it had the hospital psychiatrists (there was more than one hospitalization) had pretty much settled on the diagnosis.  So, I got a sort of confirmation that the neuropsych was thinking bipolar as well.

My son has other disabilities so the eval was useful for other reasons.  But it shed absolutely no light on the mental health aspect of his condition.  His psychiatrist recommended it only because he felt that we needed an IEP related to disabilities and given all of the mental health issues, the neuropsych would provide the best information and recommendations for the least cost.  [/quote]

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