We had our regularly scheduled psychiatrist appointment last night, and it was decided to add Lamictal to difficult child 2's cocktail. I told him I'd been noticing that difficult child 2 has been having trouble sleeping at night -- often gets up and wanders around or complains of not being able to sleep until after 1am. He says he feels anxious and is just thinking about a lot of stuff. Then when he's tired the next day or so, he starts to get "stuck" again on things he wants to do and gets upset when I tell him he can't because it's usually something not appropriate or reasonable for that particular moment in time. He also got depressed after we had a 3-day period of rain -- curled up in his bed and was tearful and really sad for a couple hours on Sunday, which is very unusual for him. He's also been picking at his finger and toe nails and a sore on the corner of his mouth. And he's still emotionally reactive. Clobbered the principal's son in the head with his lunch bag yesterday because the boy was teasing him with a "Your mom's so ugly..." joke (he's really protective of me) and the teacher didn't proactively intervene. (I didn't know whether to cry or laugh when I found out). Sooooo, he started a very slow ramp up last night. He takes 25mg every other day for two weeks, then once a day for two weeks, then twice a day in the fifth week when I'm supposed to call with an update. I really, really hope this works.