Lithium did wonders for difficult child last year. It still does something now, but his medications don't seem quite as effective the past few months- although that could be because of the seasonal thing. Anyway, if lithium is the right medication for your difficult child, you might be surprised at the change. I was really thinking that difficult child MUST be incontrol of a lot of his raging, until lithium completely stopped it for about 6 mos.