I am wondering if anyone else has gone down this road...Some background: difficult child has been through many daycares, constant calls to pick him up. Had tantrums, flight risk, chair throwing etc. Now in therapuetic school since the fall of 08. Currently, with-flexible scheduling we haven't been in need of after care since the end of last year. difficult child finished school year on a positive note, somethings had improved and he began to accel in academics. difficult child diagnosis'd as ADHD around age 4. Bad reaction to stims so diagnosis switched to BiPolar (BP) (some family history on husband's side). Been through several psychiatrists, through all he's been diagnosis'd as: ADHD BiPolar (BP) ADHD BiPolar (BP)/ADHD Pervasive Developmental Disorder (PDD)-Aspergers Pervasive Developmental Disorder (PDD)-not otherwise specified most recent evaluation ADD/ADHD combined type-Mood Dis-not otherwise specified He had a neuropsychologist around the age of 4.5 - most recent extensive testing came up with-the last diagnosis on the list (which I agree with), no Learning Disability (LD)'s, high average to high IQ, but my problem stems from the fact that no medication has ever helped him in any positive way. We have trialed at least 10+ stims and all with-bad reactions. We have attempted to treat it with-non-stimulants also (no luck). After the recent evaluation psychiatrist want to try Clonodine (which we tried about 2 yrs ago - no luck) in oral then patch form (we haven't tried the patch before and we haven't started it yet). These medications were trialed while he was on various other medications for mood. Now they are looking at it as more anxiety and ADD/ADHD. difficult child is coming up on finishing his first ever 2 weeks at daycamp (no phone calls, no write ups, no troubles OMG! HUGE!). Things have been wonderful. He is happy and eager to go, he is making friends and he is happy to come home. He is so much calmer and nicer and pleasant to be around. My difficult child is a happy boy! His in home workers were discussing his case in generalities with-another psychiatrist who wanted them to note if behavior was different since starting camp (it is). psychiatrist feels he is just one of those kids that needs to get thoroughly exhausted to be happy, calm and focused. To get out every ounce of energy in order to level himself off. If he is left to his own he can and usually does spiral out of control. At home he likes to be outside and is encouraged to be with-his swing set, bike, swimming, playing sports with-mom and dad etc, but being in environment such as camp where they know the schedule and go, go, go all day has made a HUGE difference. I guess my question is, does anyone else have a child like this in terms of the energy portion? How do you or what do you do to help the child release this especially during the school day? difficult child is very athletic and does baseball and soccer is in the fall and I am looking into karate or swimming as another outlet, but difficult child needs the constant go, go, go all day, every day. I have visions of taking him to the high school track at 4am in the morning to run before school so he can get it all out (and he's only just about 7). Anyone have any experience with a child like this? Thank you.