It has been a loooong day.  M's 1st appt was at 9 and her last was at 4 w 2 more in between.  And I know she is stressed.  She has been nit-picky and irritable all day.  She has accused me of being mean no less than three times, trying to pick a fight no less than two, and not listening no less than five... and I did fine all day until just a few minutes ago when I snapped back at her.  SCREAM!!!!