UPDATE! YAY! psychiatrist just called me, the on-call had paged her. We discussed difficult child's disconnection with reality getting worse, the lack of sleep and the increased activity. psychiatrist said her risperdal is nowhere near enough for her metabolism and instructed me to change the dosages from .15 in the am and .25 in the pm to .25 in the am and .5 in the pm. She also wants bloodwork done first thing in the morning to see where we stand. I really hope this helps, but Im not holding my breath.
I can't help the feeling of relief over the fact that psychiatrist accepts difficult child's age and symptoms without doubt and addresses them quickly with a positive attitude. Praying for sleep for Mommy tonight, just a few hours in a row would be fantastic.