Put him on Tenex. Again. The same drug we've tried twice that doesn't work. If he's not manic, it knocks him out cold in the smallest of doses. If he's manic, it does absolutely nothing, even at 8x the "knock out" dose. Right now, difficult child is awake 13-15 hours a day. He is having trouble with 1-2 of those hours with a known trigger. So we're gonna sedate him first thing in the morning to deal with an hour in the afternoon? Can someone please explain this logic to me? Cause I'm not getting it.