Just registered here and am hoping your experiences can help me understand better what's going on with my 10yo. Brief history: diagnosis'd ADHD age 5. Responded well initially to stimulant medications. At age 7, started having problems with mood -- rages on the playground when frustrated. Tried Zoloft in combo with Adderall, but caused manic behavior. Stopped Zoloft, switched to Concerta and added Risperdal, which seemed to do the trick for a couple of years. Jump to December '06 and his dosage for Concerta has crept up and is now beginning to act like water (even at 162mg). ADHD symptoms not in check, emotionally labile and prone to outbursts of rage. Switched to Focalin XR -- started at 20mg but had to increase to 80mg to see best results. Swapped Abilify (7.5mg) for Risperdal. psychiatrist lowered Focalin XR to 60mg and increased Abilify to 10mg because ADHD symptoms and rages coming back by lunchtime instead of maintaining usual symptom control until at least late afternoon. Jump to today -- he's still at 60mg Focalin XR, still at 10mg Abilify. ADHD symptoms are mostly in check for about six hours (barely) compared to the eight or nine solid hours I saw before all this started falling apart. When the medications are spent, he's increasingly argumentative, easily frustrated, gets "stuck" on things, easily angered, etc. Lots of fighting now between other siblings because of his annoying behaviors, lots of frustration on my part. It's been a very slow couple of months in trying to find some solution. He's very bright, but very much a PITA right now. Is this just ADHD out of control? What other medication options do we have to manage this? psychiatrist does NOT want his Focalin dosage increased I think for fear of having him develop tolerance to it as well. Thanks in advance for the advice!