DS8 (72lbs if that matters) was diagnosed by a psychiatric in Jan with ODD and borderline ADHD. He has been on 2mg on Intuniv given at bedtime which has been nothing short of a miracle after two years of therapy and school struggles. Once school began this year the emails from his teacher began. He is getting irritable with other children and is not focused. Took him to the pediatrician and she started him on Concerta just to get him through the day. 18mg at first and we saw nothing. Upped to 27. His teacher says his focus is better but he is really irritable and aggressive the first few hours of school and then is great the second half of the day. I give it at 7am because any later and he cannot fall asleep. pediatrician is now saying she wants him referred by psychiatric again which will be weeks waiting for another appointment. She will not up the Inuniv either and will not consider another stimulant until after psychiatric. To make the situation worse we are moving soon to an area with even less available care so I need him stable ASAP. We currently live in a small area and she is the only pediatrician that our insurance will pay for. The psychiatric here cannot get him in until after we move so I'm stuck trying to convince this pediatrician to try something else. I plan on meeting with her again but I'm wondering if it is normal for the Concerta to cause irritability for only a few hours? He is great for me in the morning and is fine in the evening. It is just the hours from about 9:30 until noon-ish. I'm so stressed out I cannot sleep and I need him stable before our family moves. I'm going to ask for a neuro-psychiatric evaluation when we move and am willing to travel for it.