It's so easy to be lulled into a false sense of normalcy. medications are working, everyone's holding it together pretty well. You start to think, "Hey, maybe my kid doesn't really need to be on all these medications! Maybe this was all just a bad dream afterall!" On Friday, difficult child 2 didn't get his medications at his usual 12:30 lunchtime because they were on a minimum day schedule (due to quarter end -- he's not used to this at all) and he forgot to go to the office. He got home around 2pm, and that's when I found out, partly because I asked, and partly because of his behavior (bouncing off the walls, essentially). So I gave him his pill, and after about an hour, he was settling down. WAY down. He fell asleep at 3pm! And the nap continued for about 4 hours! I managed to get him to bed by 10pm, but I don't think he slept well or for very long because around midnight, I could see the downstairs light had been turned on. husband said he went down and difficult child 2 was on the couch. Awake. He told him to turn out the light and go back to sleep. Next day he's a bit squirrelier than usual, but I manage to keep his medication dosing on schedule. He's still a bit louder than usual, and his emotions seem exaggerated. More trouble sleeping at night. Today I'm busy doing yardwork all day. I tell difficult child 2 at 12:30 to go take his medications (they're measured out in a pill box). He goes inside to (I assume) do as he's asked. Never assume with a difficult child! By 2pm, I find that he did not take the pill. I'm leaving to go to the store and I tell him to take his pill (again). Second mistake. I should have hovered and watched him take it. Finally, I get back around 4pm and he still hasn't taken the pill. Gah! By now he's really spinning and just getting more and more impulsive, giddy, spinning, doing stupid and risky things. Did someone say hypomanic? He got his pm medications on time, and did the pre-bedtime routine pretty much on time, but admitted his head his "buzzing" tonight and it took him about 3 hours to finally settle down and go to sleep. I even had him do some relaxation breathing to see if that would help. Tomorrow he has late start so he'll get a little extra sleep. I sure hope he settles back down this week. There's a field trip on Friday, and last time the teacher he went with completely forgot to give him his medications. This is a different class... but I'm going to talk to the administrator that's going along on the trip to see if he'll take responsibility for the dosing that day. It makes me wonder, though, why difficult child 2 is so sensitive to the dosing schedule. He's on a fairly high dose of medications, too. Could it be that he's on the cusp of needing a higher dose, but not quite there yet?