I need to update my signature, we just changed my son's medications over the Christmas break. He was on vyvanse but his behavior has not been good for a while (since Nov-ish), very moody, angry, agitated, easily annoyed, etc, and he was starting to have problems at school with-putting his hands on people, being disrespectful to his teacher, not following directions, etc. Usual stuff we see before we increase his dosage, usually. Though while we were at the dr's office, he was picking at scabs, picking his hang nails, just general picking. He did that for a while a few months ago (maybe even last school year), but I hadn't noticed when it started up again recently. Anyway, his dr noticed and said it was likely from the vyvanse, so we switched him to Intuniv. All of that to say....I am seeing some things now and I'm not sure if the vyvanse could have been masking them or what the deal was. Some of the things I am noticing are: - "episodes" of being VERY giddy, like crazy laughing, uncontrollable giggling, some forced/fake laughing mixed in - not as many angry outbursts but the couple that he's had have been the same, clenched fists, clenched face, breathing very hard, talking/yelling through clenched teeth - Very tired, which I'm guessing is related to the intuniv, but I'm keeping my eye on it - Very hungry, and craving junk food, which also COULD be related to his abilify, I think that was generally kept under control because the stimulant was counteracting the over-hunger, but he just wants to eat all day. I made sure to buy lots of fruit, yogurt, and healthy snacks for him and will also keep an eye on it - He has NOT had one crying meltdown since he's been off his vyvanse and those were a daily/multiple times a day problem for the last few years, but he's been on stims for the last 2 years so maybe they're related? - This one really bugs me....preoccupation with his private parts, his front and rear end private parts. He keeps trying to snuggle but then he'll rearrange himself on me so he is pushign it on me, I don't mean to sound like a terrible person but it really creeps me out and makes me feel "yucky" when he does that. I explain to him that its not ok to do that to other people, his private parts are just for him, and then he'll put his hand over it and say "now just my hand is touching you" but that doesn't really put a stop to it, you know? He has done the pushing against me thing before but I would just say its not ok, and that was usually the end of it (for that time period) but now its like an obsession, and me saying its not ok makes him want to do it more. He's also touching himself more and talking about body parts more, talking about his chest (calling them boobs), trying to touch my backside, etc. I have explained to him that its perfectly ok for him to touch his parts....when he's ALONE, he's not to do it in front of me, or try to touch other people with it, but of course he is afraid to BE alone so it happens in front of me. And he's 7, so I know some of this is exploratory, but the obsession with-it and the almost "joy" he gets out of it when he knows I don't want him to do it to me but he keeps trying really bothers me. - also having lots of negative self talk, "I'm so stupid" "I hate myself" "I can't do anything right" "I am D.U.M.B.!" I guess those are the main things I have noticed so far, I'm sure this is long by now, so I'll wrap it up. We go back to the dr later this month for a check in on the new medications so I'll talk about all of this. I'm just really starting to wonder if he might be experiencing some mania....every dr we've met has said he has depression, I've never really noticed much mania, but I'm wondering if the stims could have been supressing that? Or if his anger/rages/irritability were mania and I never put it together. Or I've been surfing the net too long and its time to step away from the google box Oh, obviously I'm starting to think he might have some signs of bipolar....but I don't want to jump to conclusions. I'll keep a watchful eye on things for now. Any thoughts? I'm sure you have some helpful eye opening ones, you always do!