difficult child 2 has moved into full blown Early Onset Bipolar 1 since starting school the beginning of Sept. A lot of mixed symptoms that culminated in aggressive rages. While I was pretty sure he would end up with a BiPolar (BP) diagnosis his psychiatrist was on the fence and stuck with the Mood Disorder not otherwise specified label until a month ago. She is firm now that his diagnosis is EO BP1. He was already on Abilify which had helped before starting school and he had started Lamictal but we were at fairly low doses of both and it was clear that he was not at all stable. So we upped his Abilify to 15 mg. Then we upped his Lamictal so he is now at 250 mg. Still big mood swings including "happy" manic stuff that we hadn't seen before now. Yesterday we decided to add Lithium to the mix, 300 mg twice a day because of the emergence of more manic features. Anyone else tried this combo?