Tuesday difficult child got throwing rocks at cars pulling up to the school and other people, laughing about it and not caring he was caught. he was also caught doing girating movements to other kids which they thought was gross by what the teacher says but he found hilarious. After other things he's done in the past week alone (telling his sister he was going to light a pen on fire and stick it in her eye) his p-doctor told me to take him back to the hospital to be evaluated. He didn't want to go and all but destroyed the backseat of the car trying to get away on the way there, ripping up homework the teacher had sent and throwing anything in reach around and screaming at the top of his lungs. Once we got there he settled down like nothing was wrong although i thought i was going to need help getting him out of the car at first. Since the beginning of the year when he started the prozac, lithium and focalin his grades have gone down. He still threatens his sister alot of the time. He says he just doesn't like her and she's mean to him, he makes up stories about things she wouldn't do (having a jumping contest on his bed and she kicked him which is why he doesn't like her) to tell why he hates her so. The p-doctor has switched his medications again and added one and i'm hoping something will work along with the therapy we'd been going to, something's got to change! I don't understand why he's so violent even with the bipolarism, we try to work with him and explain things so he can understand them that he has to work on NOT doing things that he does (calling the neighbor a fat cow and a pe*** because she won't let him play at he house), hitting other kids; he just doesn't understand why everyone gets mad at him. Is it tough love? Do we crack down on him so hard that he breaks and break his spirit? Or is it just a disability that he has trouble controlling? This is the second year in a row that he's acted like this, his history shows the same things over and over from the school. I just don't know what to do right now, any suggestions? Or am i just making excuses for him?