Well I believe it was a very good psychiatrist appointment. psychiatrist took difficult child off the new medication, Geodon. She increased the lamictal. Said he should be taking it twice a day. He has only been taking it in the morning. psychiatrist also told difficult child he can take the abilify as needed if he feels very agitated. He admitted he felt better when taking abilify but doesnt like the weight gain. He has done well on lamictal in the past, he as been on the same dosage for such a long time, maybe this increase will be beneficial. Hopefully this helps. Thanks for everyones input.