That boy is upset and scared! I am a little too. So I have given the medication history how many times now? Now the admitting doctor just called and asked for everything. He said he thinks the concerta is causing the aggression and he wants to start Depakote. I respectfully said no, not right now....After the lamictal is out of his system and after we have the in pt doctor assigned and that person talks to the other three who already had a plan if this Lamictal doesn't work. He said but he is having so much trouble with all of the kids etc. I said, yes, I realize that, which is why he is there. I am ok with a short acting medication to help him calm as long as you research that it is not one of the no-no medications on the enzyme disorder list. He seemed happier...I had to say a million times that yes, he always has some aggression but it is always something we can redirect etc. The kid you see is not the normal difficult child and if it was the Concerta alone, then I think this would have been going on a long time ago. I do believe things change and it may be contributing over all but it was not the tipping over the edge medication. Problem is he also gets this way when he is under extreme anxiety. He is so wigged out that he is gonna seem that way even once it is out of his system I fear. But once he is used to their routine maybe not. He did say, mom I feel not safe, "I feel like to punch you in the face so I am gonna go out of the room now" THAT is more like him honestly. He does say stuff like that but has never done it. Even during his rage he did not hit me in the face. He says awful stuff but has never done it. It sounds like when a little kid says I am gonna push you down the stairs or other things I have heard over the years. But when a big kids says it it seems very threatening indeed. So much for my nap.... OH, the neuro just emailed me and she just wanted to know how things are...I told her what happened today and what i told the doctor so I asked her if that was the right response. She will either write or call me back soon I am sure. Admitting doctor seemed to calm down once he saw I was cooperative, just careful. Wow, I am so praying for healing and guidance in this For myself and each of the doctors. did I tell you they have a red yellow green privelege system? Oh gosh, I brought them in his system (which by the way they were super impressed with) so they could understand why he might be a little confused. bottom line green is for following directions which is the same. But I fear my kid will never be one of their "green" kids.