My memory is not what it used to be and I can't find the posts where these things were listed, therefore, I'm not sure who (more than 1 person) to thank, but Thank you to: 1) Whoever made me aware that a medication reaction could be the cause of difficult child staying up 30+ hours in a row and being impossible to deal with (this probably has him home instead of locked up right now) 2) Whoever suggested exaggerating the urgency just a little to get the MDE reports/recommendations in my hands ( I finally got the report and today the Ed Spec volunteered to attend Friday's IEP meeting YIPEE!) 3) Whoever posted recently on someone else's thread that they thought lithium hadn't helped (if I interpreted correctly) until they started weaning difficult child off lithium- which leads me to my question- difficult child was put on lithium and it completely stopped raging tendencies for a couple of mos. He couldn't go up in dosage because it caused him too much stomach sickness. He was switched to lithobid and depakote was added, to help with hyperness, restlessness, excessive talking, etc (lithium hadn't done much, if anything, for these things). Then, tendencies to rage started re-appearing, although difficult child was reeling himself in. I talked with psychiatrist about this- if lithium was really helping at all at this point- and the fact that between holidays and spring break is the hardest time for difficult child- he turns into a different person. On top of that, he normally gets good grades, but since he was changed to lithobid and depakote was added, grades plummeted. difficult child says he can't remember what he reads (this could be true based on neuropsychologist testing), and he's real sensitive about turning things in that aren't done very well (so he doesn't turn them in at all- even if completed). psychiatrist says to take 1 out of 3 lithobid pills a day away, but start it back at the first sign that things are going backwards. OK, well, this happened 4 days ago and difficult child raged tonight. Not as bad as it could be, but he wasn't reeling himself in so well. Now, he got very little sleep last night, which always makes him harder to deal with. I'm not sure- things were getting worse when he was taking his full dose- we can't add anything else (I don;t think) unless the lithium goes down. I don't know what to do except give it some time (how much time?) and if things are still getting worse, add the higher dosage back and see if that stops it or not. by the way, he's still taking his normal dose of depakote. What do you suggest? How long does it take to see a change in difficult child from a change in lithobid dosage?