I'm really, really hoping that difficult child 2's ramping hyperactivity and impulsiveness is due to the excitement of the holidays and interrupted sleep, and not some new twist in the course of his illness. He was noticeably wound up last night at sister in law#1's house who we drove to see since mother in law/father in law are in town visiting. And today was much, much worse. He's making noise just for the sake of it, pacing, twirling, swinging around, climbing, rocking, hanging on stuff/people, hyperactive, silly and goofy, provocative of the sibs, pouting and almost growling, and then laughing... yada, yada, yada, this sure looks hypomanic to me. He hasn't missed any medications and everything's been dosed fairly close to the usual time. I'm not going to change anything until I see how this next week plays out. He's been inside a lot, and maybe tomorrow he needs to just get out and get some exercise. The other two kids are getting really fed up with him, though. And my patients waxes and wanes, too. And now the in-laws are stopping in to visit tomorrow (not looking forward to that. They think everything is a discipline issue. Can you say "clueless"?) I snapped at father in law last night when difficult child 2 hurt his neck wrestling with husband (it audibly popped) and he was wimpering/moaning about the pain and father in law gave him a sarcastic retort "THAT doesn't hurt!" I get very angry when adults try to brush off kids' distress as insignificant. Lord, grant me the strength to get through the next few days!