I hardly ever post here anymore. Carlos has been mostly stable for almost two years now on Seroquel. We think his diagnosis is bipolar, but still don't have anything official other than Pervasive Developmental Disorder (PDD)-not otherwise specified. My gut and the guts of several docs are calling it bipolar unofficially. Anyhow, quick synopsis is that without Seroquel and with other medication trials he was either extremely hyperactive and manic (to the point of running until vomiting and still going) or violent. He would say he liked hurting us and would talk to the "transformer boss" who told him to do bad things and not to take his medications. He would follow us around to hit us in the back saying he liked to hurt us, and in the midst of a two hour rage his eyes were blank and absent. Within days of taking the Seroquel his violence vanished. The rages were gone. He still gets very hyper, but the difference has been night and day for almost two years. We did have a point where we were giving him fiber which seemed to mess with the medications a bit, but other than that he's been stable... hyper but non violent. So here's the problem. I don't know how to discipline him. We use 123 magic, and it's okay. We don't have the raging and we do have him obeying the consequences of timeouts with some prodding. That's huge progress. Still, I can't help feeling he gets away with murder sometimes because we don't want him to spend his life grounded. He lies and lies and lies. We punish him for it (character is of huge importance in my book) and he will get through his punishment and then look innocently into my eyes and lie to my face again. So, do I let him stay grounded forever since there seems to be a disconnect that allows him to link his behavior to his punishment? He seems to think it's our fault he gets in trouble. I refuse to let my life be run by a child, I can't be sane that way, but my heart aches for this child who is always in trouble! He thinks every rule that we give him applies for five second intervals and he NEVER seems to get it.