So difficult child has been acting increasingly hypomanic, bordering on manic. He has the pressured speech (which is non stop), racing thoughts, impulsivity, and irritability. I hate to add an ap back in, but I can see it is needed. We are starting risperdal tomorrow. Just .25mg, but psychiatrist and I are concerned about side effects as he developed such major tics and akisthesia on seroquel. She gave me a prescription for cogentin to use if the tics pop up. I hate to give the risperdal, sometimes he is fine, but more often than not? He is not ok. He is also giddy, just over the top silly. I am working towards having him go the high school that is meant for ed kiddos, it bases its behavioral theories on the cps model. We have to have a district meeting to have him placed there, I don't know when that will be yet. His therapist (new one with county that I really really like) volunteered to go with me, and I am very grateful for that. I hate to think of what will happen if he goes to the traditional high school. It is so crowded, 2000 or more kids and so big, they have several buildings. He will fail his classes as they have so many kids in them I don't know how the teachers are supposed to follow an iep. Plus? The minute he is in a bad mood and gets bumped in the hallway the fight will be on. He will get majorly bullied as he is so small, 91lbs and the height of an elementary schooler. Plus he is so emotionally immature. I hate to have him go to a more restrictive environment, but really? I dont' think the other options would work. In Oregon we have 2 diploma options, standard and modified. Standard requires 26 credits, modified 24. The modified is meant for Special Education kids. With it they are eligible for services through age 21 through the school district. Can be help with independent living skills, job finding, and even with college. My heart wants difficult child to have a standard diploma, but my mind won out and I went with a modified diploma for him. I really don' think he will be emotionally ready for college after high school, and really? He will mature so much slower than other nt kiddos that I think the extra support could be nice. I am nervous about the risperdal tomorrow. psychiatrist's first choice was geodon, but I nixed that. I just do not have a good feeling about that medication, don't really know why, but I have learned to trust my gut throughout this. Maybe if the risperdal works we can stop the trazodone and buspar. It would be nice to add a medication and get rid of one or two at the same time, but first? I want to see what (if anything as it is such a small dose)the risperdal will do.