Painfully Validating....

"Mrs. Anderson, the last 28 days have shown Vivace to be excessively aggressive, both verbally and physically. He is often caught posturing as if he will fight and making aggressive facial gestures to provoke his peers. He has lifted his pencil as a weapon towards staff members, along with shoving, pushing, kicking and general aggressive stances. He is aggressively telling them "no" in their face before they even complete a simple request like, "please, sit properly." He started a fight because he felt he waited too long to have a turn to shower, he tosses the board game if he loses. He provokes, teases, and verbally harasses his peers. He finds every chance he can to insult and degrade them, and every chance he can to showboat and brag about his skills or intelligence. He refuses to attempt any school work that is the least bit challenging. He would rather create an aggressive diversion than struggle with a new concept. He often is caught in lies, manipulation and adult triangulation. He is acting entitled and is not very self aware. He is impulsive. We believe we are seeing his true behaviors as demonstrated in the home, now that therapy is getting into some deeper issues. The honeymoon period is over and he is realizing he will need to earn his way out of the facility by being responsible, attempting new tasks, being non-combative, receiving instruction without becoming aggressive, and making a genuine attempt at general relationships with peers, staff and family."