How to know when inpatient is needed
My 11-yr old daughter has Non-Verbal Learning Disorder, Mood Disorder NOS, and sometimes is on the autism spectrum (depending on who's diagnosing). She has horrendous meltdowns, and in the course of the meltdowns many times she screams about wanting to kill me, other family members, and then herself--stabbing herself until she dies. She hates us all and wants us all dead. Today she took her sister's hair implement and tore up her arm to the point of bringing blood. At what point is hospitalization the answer (or at least an option)? And if not hospitalization, then what? I'm terrified and at my wits' end. She does have a psychiatrist, by the way, who doesn't seem to get too excited about these events. She also takes Zoloft and Lamictal.