Hi difficult child 2 has been on Abilify (very low dose) for a few years for impulsivity, getting in other kids' space etc. He has major focus issues. executive function etc. Stimulants made him miserable, have tried just about everything else. (Abilify is only AP though). We finally decided to d/c it for a while to see if was actually do anything since he kind of seemed to be irritable all the time. His mood has improved, much less irritable, less aggressive, though that hasn't bee a big problem. (He doesn't rage at all). But the impulsivity has gotten worse. Teachers are complaining etc. He has Fetal Alcohol Syndrome (FAS) ( not too bad), ADHD, not at all clear there is actually a mood disorder, definitely not on spectrum. He has been neuropsyched and psychiatristed and tdoced to death. We go to see the psychiatrist tomorrow. I'm not sure what to suggest or where to draw a line in the sand. This kid has tried about 12 medications or so (Ritalin Adderall, Focalin, Tenex (disaster), Strattera (gave him tics), Prozac, Wellbutrin, Abilify, Lamictal, Trileptal that I can remember for now. psychiatrist had suggested we try Risperdal back when we were concerned about irritability and anger, but I'm thinking that the Abilify was partially responsible. I really don't want to go to Risperdal with the weight gain issues unless there is an overwhelming benefit. Maybe there is nothing left to try. I think that drugs that kind of make him sleeply also tend to make him irritable. But stimulants made him really irritable and perseverate even worse on ideas (like going shopping at midnight). Anyway, all you wannabe mom psychiatrists out there, anything I might think about suggesting? Anything that helped your kids with impulsivity, focus? Thanks. Desperate here for something to help this poor kid, who really does want to do good, but can't seem to. P.