My son has been on a downhill since Thanksgiving. Here is the backround: **april: started lithium (quickly started to see improvement in everything but focus) **did well over the summer other than we tried clonidine **august: started school (mood doing real well but focus is an issue) **september: started to gradually titrate strattera in hopes to help focus **october/november: seeing no help from strattera but was kept on it **november: tried Tenex--increased focus buthe was getting angrier and angrier so it was stopped **December: starting to be very moody, going downhill, very difficult, meltdowns and a few rages (which we hadn't see in a while) **January: almost declined to his worst. saw psychiatrist on Thursay and we had weened him off of strattera and now trying depakote. private school being very supportive and trying to work with him but he is spending most of the day in rest stop (time-out), going to the bathroom, roaming the room, talking non-stop--very disruptive. A meeting is scheduled on Wednesday to discuss and try to come up with plan. I decided to pull him out of school for tomorrow and until he shows progress in his stability. I am a Special Education teacher and have a lot of experience with children like my son BUT it is way different when it is your own. My thinking is I'd rather keep his learning and skills progressing as much as possible rather than letting gaps grow. I spent hours tonight planning his lessons for tomorrow and a behavior plan for him to earn tickets for rewards he likes throughout the day. His brain is racing so badly right now. I am so exhausted- physically, emotionally, financially.