I don't know if it's because his medical procedure is coming up on Friday, or if something else is going on, but difficult child 1 is behaving as if his medications are not working the past few days. Yesterday, his patch fizzled out by 3pm or so and I could not get him to do much on his assignments after his teacher left around noon. He ate lunch and then fiddled around for a few hours despite my nagging for him to get back to work. Finally at 5pm I gave him 2 Focalin (the usual "booster" we are told to try when he needs to squeeze a few more hours of attention out of the day). At 7pm, it still wasn't helping much so I gave him another 10mg, which puts him at the same equivalent that his Daytrana patch is. That seemed to finally help. But prior to that he was being a complete screwball -- if I didn't know better I'd have described him as hypomanic. He says he was just having "fun." And while that's fine if you don't have anything else better to do, it's not ok when you have an assignment that's already late and you're starting to annoy everyone around you. This morning, he's had all his medications and I still can't get him to finish this essay. He's about a page short, so I sat down with his draft and started going through it to find areas where he could add detail, asking him questions to help him come up with the answer or solution on his own. Instead, he has shut down and is refusing to do any more, saying that he hates writing, it's boring and he doesn't want to do it. My mom says it's probably his anxiety about Friday. Now I'm starting to worry about his cooperation that day, and I'm hoping it doesn't get ugly when it's time to go.