Kitty has 3 areas that cause her extreme anxiety:
1. diagnoses/trauma - which is with her always of course
The minute she enters school she no longer has to deal with family, and can usually hold it together. When she enters the hospital most of 2 issues (family and school) are gone and she can hold it together even better.
Plus, school and the hospital are looking at the short-term so they can bribe her, placate her, and put off and ignore her issues. They also are comparing her to other teens who act out, and in comparison, Kitty's issues look less severe. (She has admitted to staff that she feels like hitting some of the girls at the hospital that are picking on her, but to them the important fact is that she's not doing it. To us the important fact is that she's having those feelings at all! She's usually not aggressive like this).
Add in the fact that Kitty doesn't trust them, and her self-esteem is totally dependent on other's positive opinion of her so she won't act out in front of them... and Kitty can hide her issues for a really looooonnnng time.
I did find out from the social worker during the family session, that Kitty's issues are because we haven't been letting her see her trauma therapist independently. Apparently she needs to have her own therapist, and then she'll be all better. *sarcasm drip*
I talked to a friend of mine and she pointed out that Wellb*trin which Kitty started taking recently can make her aggressive. The "miracle" drug Ser*quel that she's taking (suposedly to replace a mood stabilizer and anti-psychotic that was at a super high level) is nowhere near a therapeutic level. The mood stabilizer, Tril*ptal she takes is actually a fairly low dose and is not considered a strong mood stabilizer to begin with.
We still haven't had a conversation with the psychiatrist at the hospital, but received a call from the hospital social worker that we need to pick her up today after meeting with him. Obviously he won't be making any med changes. I'm ticked. *major understatement!*
There's a possibility that Kitty will be going to residential treatment on Wednesday. If she's as angry with us as she appeared to be on Sunday, then I'm not sure we're going to make it.