Thank you for all the responses. I think that I will ask them to challenge him just a little more like Grinity suggested. But, I don't want to have him so challenged that he starts having issues again. With my younger son, I'll leave well enough alone for now.

I *am* tired. I don't handle emotional conflicts well, but through this process I've had to learn to be better. I would like a long lull in the times between having to miss more work and go to more appointments.