Smallworld's comments on my Neuro-psychiatric thread made me want to post now about our psychiatrist apt yesterday. Our Neuro-psychiatric feels that K, once stable,she feels K is stable, could use a tiny bit of an ADHD medication. She feels of course that this is between us and our psychiatrist. She was highly recommended by our psychiatrist. We happened to have a psychiatrist apt yesterday. I sat and went over the last month. We have monthly apts. I usually e-mail her an update prior to the apt. She feels K's hallucinations are pretty much OK right now. They are not gone but they are and have never been command and are not angry anymore. K is dealing with them and she is able to live happily with them, they actually bring her a sense of comfort. The fact that hallucinations are pretty common, whether parents ever realize this or not, with BiPolar (BP) kids is what makes it easier to deal with. As far as treatment nowadays. K's rages are almost gone. psychiatrist feels she is stable in a sense that what is stable? husband and I can deal with her, because of how our lives are. K is not out of control. The only major problem now is her inability to focus and concentrate. So it is either wait until after School ends to try and add the Lithium. Which husband is still hesitant about because of her current weight gain. So we would have to add another medication on top of these 2. Which we are trying to avoid. psychiatrist read the Report and said what do I think about the ADHD medication? I said in the past I would have flat out said NO. I asked her what she thought. She agreed, but with how stable K has been, she said it might not be the worst to try a tiny amount of Focalin on a weekend and just see how she responds? We would know right away and could stop if it went wonky. She was kind of back and forth. I couldn't get a read on her true feelings. I asked her what she would do? She just said, "Well you can try it" She then told me all about the reports on how kids who are stable...blah blah blah. She also went into all of the details about the differences between the chemical makeup of Ritalin and Focalin. In the end she left it up to husband and me. I know, she is not on a MS. I just want the answers and I want no medications at all... The kid can't sit still. She can't watch TV and talk to you, I have to actually turn off the TV to ask her a question.