When you comment "no one has been able to help us", what specifically do you mean? What sorts of evaluations have occurred thus far? Has the school undertaken any evaluation processes, and/or have you pursued any on your own (e.g., through your pediatrician's office? Or would you be starting from scratch, so to speak? If you can enlighten me about these aspects of the situation, I can perhaps give you some guidance. Also, is there any family history of medical (incl. neurological) or emotional conditions that might be contributing to this situation?

It may be a good idea to find a developmental pediatrician to see your daughter.  You also said that you had tried brushing techniques so that leads me to think you have seen an OT for a sensory integration dysfunction evaluation.  If not, you may need to get a doctor's rx for an eval with a pediatric OT(check at you hospital).  You probably need to think about starting some plan to help with the school situation.  You need to research the law that pertains to special education(log onto    http://www.reedmartin.com/behavioraloreducational.html) so that you can make sure your daughter is getting what she needs and deserves at school.  Even though her IQ scored high, she may be eligible for special education services because of her behavior.  You need to request assistance from your special education dept.of your school(public not private).  I wouldn't put any of this off for long..the sooner you get things under control the better off your daughter will be and your family!!Good luck!

She has seen a pscyhologist a few times.  This hasn't helped her.  Her pediatrician is trying to get her in with a developmental pediatrician currently and has just given me a referral to see a neurologist for a EEG.  We are looking for a child psychiatrist as well.  I can't really pursue much on my own because our insurance requires referrals and the out-of-pocket expense would be enormous without it.  Her pediatrician has been very helpful.  It is hard to document these episodes for him to show proof to validate further assistance from specialists.  She was in a self-contained classroom for a year and a half and the behavior wasn't any different.  It doesn't matter how many children or teachers there are in a classroom or what the ratio is.  The lack of her control of the situation triggers most of the episodes.  She has her mind set on what she is going to do and anyone (primarily teachers) tries to stop it she goes into a rage. She hates to be reprimanded in front of others. She hides under tables a lot during these episodes.  If you try to pick her up or move her, she freezes her body up.  After these episodes she is very apologetic and also exhausted.  She honestly scares me when she is like this.  It is as if she has an alter ego.  The only neurological history in our family is a brain aneurysm on my maternal side (my grandmother).  No mental illness that I am aware of.  I just want her to be a normal happy five year-old.  Right now these episodes are diminishing her happiness.  We love her very much and it is difficult to see her like this and not be able to get any answers from physicians.  The pyschologist and pediatricians say they haven't seen something like this before.  The school has been very helpful and patient.  We have come up with all diferrent plans to keep her calm enough to participate in school.  They don't want to give up on her but I think it is getting too difficult.  They have a behavior specialist at the school and that is who recommended the brushing technic.  It only works sometimes.  She has had OT, PT(for a bried time due to a break of her growth plate in foot) and speech therapy.  They didn't discover her tongue was tied until she was four and had laser surgery to correct it.  We have began the process to evaluate special education through the school district., we are very worried about her intelligence being overlooked in a special education setting and her falling behind.  The school district does have a great special education for the elementary schools but she most likely would have to change schools.

It sounds like you have been pretty busy trying to get all sorts of things in place.  Does your state have "Katie Beckett" or "TEFRA" medicaid?  This is a type of medicaid for special needs children that does not take the parents income into consideration.  They will look at at what is going on with your daughter and then decide if she meets their disability criteria.  SSI thru Social Security Admin. is also a possibility but this is based on your income.  Either program would at least give you a back-up for your ins. In the event your ins. doesn't pay, you would have a payment source.  Your state should have services either thru a dept. of mental health, disabilities or maybe both.  Most of the time when you request services, they will do evals to determine eligibility and it should not cost you anything.  An OT working with your daughter on a regular basis maybe able to offer alot of help.  When you go to the developmental ped. take all the reports you have(make sure you have a copy for yourself to keep)so that they will be able to get a good overview of what has occurred.  Look up sensory integration dysfunction on the net and see if any of the symptoms compare to your daughter.  This may help give you clues and things to do to help calm her.  You really are further along in the process than you think.  Ask your school if they know any other agencies/services that may help.  I hope you will be able to get some answers soon.