difficult child knocked on my ofc door about 45 min ago, and when I opened it, he was in tears, his face was all red, and he was sweating. He said he was really, really depressed and didn't know what to do with-himself and he was walking around in circles. I took him downstairs and gave him an Impiprimine and 1/2 of one of my xanax. (Seemed like it would work faster than the clonidine he takes.) He had an ice pack on his neck and was pacing and I told him that pacing was a good idea. He sat down and talked for a min about how everything was going well at (computer) camp but now he can't talk to any of his friends (and he made new friends) and he doesn't know what to do with-himself, and he doesn't want to go to juvie and his girlfriend can't come over, and he's bored and his mind is going all over the place. I told him he could do one online game on the computer and he yelled, "I tried that and it doesn't help! I don't know what's wrong!" Then he got up and started crying and screaming and holding his head and yelling, "I don't know what's wrong with me!" I stayed in the room with-him and called the psychiatrist and they put me right through. Apparently he's not in the ofc on Mondays but at least I was able to talk to him. He said not to give him any more xanax, but to go ahead and give him a clonidine. He said he'd give him a scrip for seroquel and I'd get it tonight, and also to give him two lithium at bedtime instead of one. (That would make 3 a day.) He also asked what precipitated this, and I told him that difficult child was at camp all last week, that he had a meltown on the way home, that he was okay yesterday, but right now he was bored, that his girlfriend couldn't see him because her mom wasn't giving her a straight answer about what their schedule was, that difficult child was grounded off of gaming, and that we rec'd the court summons today. I sat with-difficult child on the couch and he covered himself with-a blanket. Every now and then he opened his eyes and looked at me and I asked him how he was doing and he said he didn't know, and heaved a big sigh and readjusted the ice pack (herbal with-lavender). He tossed and turned and then settled down. I did a little project in the kitchen where he could hear me, and then sat down on the couch next to him. He opened his eyes and I told him he seemed calmer. He said "I don't know," but he was no longer agitated and tossing and turning and seemed sleepy. I am very glad he came up and told me instead of just trashing the house. I'm thankful for small favors! I told him what the dr said and he did not want to take another lithium. He thinks that's what's making him wiggy. He could be right. Unfortunately, it would help if I gave him two tonight and then if he was even more agitated tomorrow, we'd know for sure. Then again, it's more likely the confluence of events, plus the medications. And maybe he is truly addicted to gaming and his frontal lobes can't hack the withdrawal. What do you all think about adding seroquel to the mix? I'm liking what the clonidine does. And I want a regular, everyday antianxiety medication that is consistent. I'm going back downstairs to see if difficult child is asleep.