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At this point the psychiatrist just continues to increase it to reach what he would call a leveling out.  No, our IEP is not and has never worked. We will be meeting with the school again Monday  to decide which direction to take. While he has been going through this struggle to raise the level I have kept him at home and we have kept up with his school work.  He has been too angry, to aggressive and too emotional to attend school. They would just send him home and that helps nobody (well...except the teachers).