I called her psychiatrist today.
She's on vacation until Monday but agreed to see us Monday during her lunch break to discuss Avery's meds. Additionally, I spoke with Avery's other therapist and she calmed me down a bit by letting me vent my frustration and worries. I told her about the escalation of violent behavior and what has happened this week. I never thought I'd hear someone tell me, "You're in the medical field (well, I'm not yet, but thanks for having confidence in my current knowledge base) so you know...if it gets to the point that you can't control the violence, you need to take her straight to the ER." "Yes, I know."
We both agreed that we aren't to that point yet and that she has enough supervision that we can immediately get her (and her siblings as the case may be) out of the situation and isolate her.
I don't know why her meds aren't working. I don't know why, like a light switch, all of a sudden it's like she isn't even taking them. I don't understand it. We are so structured about when she gets them and we never miss a dose. Yet...here we are.
Today is hour to hour. She has bounced from extremely agitated this morning to very morose this afternoon to happily building a fort in the yard at this moment. I can't keep up, when everything changes as fast as I can blink.
I'm trying my best to hold it together. At least through the weekend.