OK guys, Im meeting with difficult child's psychiatrist (I assume that is the acronym for pediatrician???) Right now he is on 72 mgs of Concerta. I have learned so much from reading what you all write that I feel so informed this visit but I need some help before I go see him. First of all, difficult child is soooo hyper all the time while on the medications. He is definately worse when he's NOT on the medications so I just thought that this was the best we could get for him. I'm wondering if he should be on stimulants at all?? His diagnosis is ADHD/ODD. He started with- Ritalin. Changed to Adderal. Now Concerta. Hes been on Strattera before but I really never noticed any difference with that. School is starting soon & I really would love to start this year off right. If in fact the stimulants are not working, what are the alternatives?? I mean there is no way that he can be medication free right now. Tried that for years and he truly suffered, especially in school. The stims really do help in a lot of areas but the seem to "rev" him up a bit to much. Everyone keeps telling me to get him a pshyc/neuro evaluation. What exactly is that? Like really, somebody actually spell it out for me so I can right it down on my list for the visit. Thanks guys!