My beautiful Athena, crazy little enigma...wonder if anyone has any input.

So at this point we currently have a provisional PDD-NOS diagnosis, along with a generalized anxiety/mood disorder and possibly selective mutism. At least that's this year's guess. She doesn't seem to fit into one specific category or another and no one can tell what causes what.

At this point, because of the selective mutism, the anxiety/mood treatments aren't working. Our psych has basically said if she can't get through to her soon, she's going to have to let us go - because there's not much else she can do to help her. The developmental pedi says she displays some autistic symptoms - refusing to make eye contact, lack of imaginative play, etc. - but because of other things can't full diagnose her as autistic either, hence the PDD-NOS.

We seem to have come down to two options:

1). Try a medication like Prozac to see if that calms the anxiety symptoms down enough to get her to participate in the therapies to see if we can make more progress with her that way.

2). Go to the school district and get an evaluation to see if we can qualify her for an IEP. If she does, then we can use the PDD-NOS diagnosis to apply for a scholarship in our state that will allow us to get treatments privately for the items on her IEP. This could be structured play groups, alternative therapies like aquatics or equine - stuff that our insurance won't cover and we definitely can't afford.

It seems like the IEP route is the best option - though I hate officially sticking a label on her. I'm also not sure what the school district looks for or how it would work out.

Anyone have any similar experiences and can share how it progressed?