Hmmm.
You're gong to have to forgive me, but I don't have enough background to go on. You may have posted it, but I missed it.
Was difficult children behavior anything like this before she was put on medications? (thinking the last two posts here, doesn't have to be exactly the same but similar?)
If not could you give me a short example? Because medications can be masking some behaviors and triggering others.
Did she even have a complete evaluation done for ADD? The behavior in the last post reminds me more of ADD than mania........of course it could still be mania.....but that is what popped into my head as I read it. I was diagnosed ADD/ADHD as a child......and spent most of my childhood like that 2nd post. Good days and bad days of course, but still. lol
And I'm looking at her dxes........Generalized Anxiety Disorder (GAD), Obsessive Compulsive Disorder (OCD), Hoarder........and can hop around from activity to activity......and a sibling who is on the autism spectrum. I'm not saying she's autistic.......but I am saying if I were her parent I'd want her to be evaled to see if she is. Autism is a spectrum disorder, it's possible she could be higher up or lower down on that spectrum. Not all autistic kids are the same or display all the traits. Travis does well with adults and very young children, anything other than that and he flounders terribly. (adults are more understanding and very young children don't notice he has social issues) Yet because he does well with adults.....it made getting his diagnosis tricky until we found someone who specialized in autistic spectrum and tourettes.
If her diagnosis is not correct, and she wouldn't be the first child who has been diagnosed wrong, the medications are not going to work properly and it would make sense that you're seeing new disturbing behavior.
Getting a neuropsychologist evaluation is probably the best thing you can do. in my opinion it would be even better if it could be done when she's had a medication wash (preferably in hospital) so medications aren't masking behavior or causing behavior that without them wouldn't be present.
At 10 I understand your worry over the psychiatric hospital. The one Nichole was in was set up great. The children were separated by age groups, and teens were off in their own unit. I would call and ask how the set up is for the different age groups ect.
Hugs
