From a locked post on Sandy's blog:
...the situation with Josh has been getting worse & worse. There hasn't been a single day, in the past month or so, that he hasn't had at least one screaming fit. Last night was really bad. He started screaming at about 3am or so and did not stop for several more hours. i finally managed to doze off about 6 am-ish and then a few hours later i had to get up again to get B&Z ready for intersession camp.