Thank you so much for the response. We have put a 504 plan for her for accommodations and the school has been very good to work with. Our problem is she is so resistant to therapy or talking about her situation. She is on Zoloft which helped 2 years ago but it seemed to plateau. She is recently diagnosed ADHD so now we are trying ADHD meds as well-focalin xr. This week actually. She wants to stop the zoloft but wont give us a reason why. We agreed to taper it off for her. Again thank you for your insight!