I know no one here is a doctor..but I've heard people say that certain mood stablizers are used to treat certain symptons. I really believe difficult child 2 needs some type of mood stabilizer. For the past 1 1/2 p-doctor has told be to start him on trileptal. I haven't... I've trialed other things....However, he is moody...each month he has some bouts of bad days being extra angry or down...then he seems fine Throughout the rest of the days he goes from normal to extra happy (lots of singing) and all over the place...who knows...he's just not right. I think the Lexapro really helps...but sometimes I think it's too much and possibly causing him to be a bit manic....but then I seem him being a bit depressed..and then he's been so impuslve and socially immature this year...and then he's been more confident and comfortable and able to do things he hasn't done in the past. He's going to new places, being less anxious...so it does help...but.... And then the vyvanse...I really think it helps him to sustain himself in school...and be less hyper. The doctor keep saying you know he needs to just try the trileptal so now what, that's three medications....and most people so nothing wrong with him at all. He's an above grade level straight A/B student who falls apart at home--what with that?????? I know these mood stablizers take so long to work...I know one benefit of trileptal has to do with no blood draws, but the counter to that is you never know if the level is really therapeutic. How does one decide to trial lamictil versus trileptal...so something else....maybe we should just start with deptakote or lithium...who knows..... Do you think that Lamictil and trileptal or just "light" mood stablizers...for kids that have a more mild type of mood disorder...versus a more full blown??