Please forgive my ignorance on this topic but a comment on another post made me wonder. Someone had mentioned that the word "no" can be a trigger for some BiPolar (BP) kids. It is a sometimes trigger for my son to rage, he has other triggers but my son has never been diagnosis'd with BiPolar (BP). I guess what throws me is that I have seen my difficult child go into a rage and then suddenly stop when he thought he would get his way. The situation was a misunderstanding and I was trying to talk him down during a rage. Since he was raging he wasn't listening but he caught the end of my sentence and it was like night and day. You'd have to see it with your own eyes to believe it. He totally calmed down, his tone changed, his face softened. I told our therapist about it and she said this was an example of him NOT being BiPolar (BP). He was simply trying to manipulate and as soon as the manipulation worked there was no need to rage. I agreed with her at the time and I still agree but I am open to the idea that I could be completely misreading the situation. It's so hard to find clarity in the midst of difficult child's behavior.