So we are trying to wean him off of Abilify and transfer him to Trileptal and Trileptal doesn't seem to be working quite as well. His dystonia is down by a lot, but his mania is higher and I don't think it's too long before he assaults someone or melts down in school. Tried for the first time today bringing Abilify down to 7.5 mg after much trepidation, but dystonia is not so good today -- started doing the "tense neck" rolls and shoulder hunches. But only (well, almost only) in front of a TV or a computer, isn't that weird. So on a bad day he has mania (irritable, yelling, bossing me around), dystonia, and still a monster appetite. Me - single dad, 50 or so. difficult child 10 y.o., boy, bipolar, 7.5mg Abilify, 1500mg Trileptal, 0.5mg twice Ativan, 2mg Intuniv, 4mg Benztropin. assorted easy child's , cats, etc.