So Geodon is no longer working. Much like every other medication we've tried, it worked for awhile but he always ends up crazy again. He's back to being over-the-top anxious and paranoid and seeing shadows and hearing things and being e-x-t-r-e-m-e-l-y violent at the drop of a hat and constantly, CONSTANTLY ****** off, making disturbing threats (at least half of which are of self-injurious nature, which I actually prefer to the threats he makes against the rest of us...) and then the bursts of inconsolable sadness/bawling over random triggers (sad looking puppy in a YouTube video, etc.) thrown in for good measure. His night time trazodone (200mg lately) might as well have been nothing as I put him to bed around 8:30/9pm and he's still awake at 1:30 in the morning not letting me go to bed because he thinks he sees/hears things and is paranoid and freaking out (stays in bed but just lays there freaked out and talking on and on either fighting sleep or unable to sleep, calling to me every few minutes to make sure I'm not asleep because he doesn't want to be the only one awake - I ABSOLUTELY do not want him to be the only one awake so no problem there...) Right this second we're in-between storms so I have to type quick. After logging a miserable weekend I called his psychiatrist's office first thing in the morning and explained the way he's escalated and she's decided to swap the Geodon out for Zyprexa which he will start this evening. SO on reading up on Zyprexa I see we can expect some massive weight gain and increased risk of type 1 diabetes (maybe more so than on Risperdal and Abilify?). My main concern is the diabetes. Type 1 diabetes is ALL OVER on his bio "dad" (donor's) side - including he himself. So um, is this even a good idea? Obviously the first and biggest threat is difficult child's psychiatric/behavioral issues, and I absolutely want them managed before he hurts someone or himself severely - and he WILL, it's just a matter of time. But I don't know if giving him diabetes on top of everything else is such a good plan... Discuss.