Some of you have noted in another thread that you have experience with your difficult child's tearing paper during class. Here I thought my difficult child 2 was the only kid who ever did this! What a relief He was really starting to become compulsive with it, creating animals out of torn scraps of paper during his free time. At one point, he was instructing a group of kids at free time on how to do this newfound art form. His teacher has been puzzled by all this. I just saw it as a repeat of first grade when his behavior was spiraling out of control and he ended up on Risperdal. There was a lot of paper tearing in kindergarten, but his teacher was very understanding. I wonder about it being a manifestation of anxiety, the way some of you have described. If this is the case, how is it best addressed? Shortly after these paper animal sessions were starting to peak in intensity, he was switched to Abilify and has titrated up to 20mg. The paperfolding/tearing has subsided a bit, but has not disappeared completely. His emotional outbursts have improved also. And he falls asleep better at night and wakes up easier. All good in my view. Just wish we could get a few more hours out of the Focalin XR. When it wears off at the end of the school day, he's back to his challenging behaviors: very loud, very messy (I can check off most of the items on the Sensory Integration Disorder list for hypo-responsive kids), regressive language (potty talk), lots of gross motor/large muscle group movement, handles his genitals more, craves carbs and sweets, very goofy, does careless and sometimes dangerous things (mindlessly swinging a baseball bat or large stick a bit too close to someone else), hyper-focused on video games or television, annoying to just about everyone around him. Reminds me of someone who's drunk. Thank goodness we have the regular Focalin to buy him a couple hours of focus to get through homework! Do any of your difficult child's sound like mine when unmedicated? Does it ever get better as they get older? Some days I just feel like screaming at him. Some days I've felt like sending him somewhere else to live. He was my easiest baby, and now he's my biggest behavioral challenge.