Our difficult child is currently diagnosed with Mood Disorder - not otherwise specified. She is missing some key attributes of Bipolar (primarily the mania part). The main symptoms we are working on now are depression. She gets into what we call meltdowns over seemingly little things (like taking a shower). It then escalates into crying, whining, pleading. Definitely some defiance in there too or at least inability to reason. The cycle is generally this: Defiance/Conflict Hysterics (crying, arguing) Remorse (pleading, crying) Sleep (sometimes) Back to normal 30 minutes is a typical duration, then it's like it never happened. She is on 20 mg of Prozac and 1.0 mg of Risperdal (recently increased from 0.5 mg). Not sure what I am asking here other than does anyone else experience these types of cycles, usually 4 -6 in a week, sometimes more than one in a day? Also, any experience with this combination of medications? She's 10 years old and it breaks my heart to see her in such distress but this is taking a toll on the family.