I am concerned about getting difficult child in a good place emotionally, medication wise, to start school. New psychiatrist is great, we have been inching up his abilify to try to cool his temper, and it has been helping but with the first day of school only a few weeks away, I am nervous. She also changed his diagnosis from cyclothymia to mood disorder not otherwise specified. Not too much of a difference, but I found it interesting. His temper is better, but he is still really explosive. On the way home from the camping trip the kids were in the back seat with a cooler inbetween them. We stopped at a rest stop,and difficult child could not unbuckle his seat as the cooler was in the way. easy child was sound asleep with her headphones on. Instead of removing her headphones, he shoved the cooler repeatedly into her. I was outside holding both dogs on a leash, ran over and opened easy child's door and did what I could to protect her, but when she woke up world war III erupted and they were both swinging at each other, and she was screaming like a banshee. Everyone at the rest stop was staring, and it was ugly. He continues to bame everyone else for everything, and everything is somebody's fault.....in his world there are no accidents. His vyvanse dose has been the same for months, if he does not get it (I forget to give it) things are much much worse. He is on 250mg of Lamictal and 5mg of abilify in the evening and we are bumping him to 9mg of abilify in the morning today. I hope something works soon. He does not have the frustration tolerance he needs for school. difficult child continues in weekly therapy, this is helping too. After he sees his therapist he is so much better for that day. She has been great, thinks out of the box. He does not talk much so many times this summer they have been walking up to the hospital (where I work and not far at all) and he talks so much more while they are walking. They go and he gets a snack from the cafeteria. She has said that he is so much easier to work with this way. I am all for whatever works. I sure hope the medication change starts helping more quickly. I don't want to send him to school the way he is now, it would not go well. Any thoughts or ideas?