Our adult difficult child (18) is having major problems. A little background - He's been in a group home for most of his teen years and was back home for about 3 months last year before he threatened to kill me. He was going into daily rages, stealing, threatening, etc so we had no choice but to remove him from the home. We have another child who is 11 and can not be subjected to that kind of behavior. In May, he moved into his permanent housing. It's a group home that houses young adults ages 18-24. Well, he hates it - just like he's hated EVERYWHERE he's ever been including home. In difficult child's mind it's his way or no way and if he doesn't get his own way all hell breaks loose. He's always been like this and I don't see it changing anytime soon. Anyway, at his current placement he flat out refuses to participate, he steals, he punches holes in the walls and destroys property, he runs away constantly, etc (same as he did at home which is why he's no longer with us). On Sunday he wound up in the psychiatric hospital but they released him on Monday. Last night he refused to participate in group session, destroyed his recently re-patched room and got in a fist fight with another resident. Apparently my son got the worst of it. So, back to the hospital he went after threatening suicide, homicide, etc (which he does EVERY TIME he has a problem he doesn't want to face). Well once again the hospital released him and he's back at the group home. I'm just waiting for the other shoe to drop because I KNOW he's not done with all of this BS. Once he starts like this he spirals all the way down and then back up to the top for a few good weeks, etc, etc, etc. I know some of it is behavior but it's also the bi-polar so the combo makes it worse. I spoke to his therapist and requested she have his psychiatrist call me. I feel like he needs a medication change. He's been on the Abilify for years but clearly it's not working. I've heard Lithium works wonders for people like him who have such strong impulse control problems. Do any of you have experience with Lithium? Any suggestions?