Well for about the past two weeks now difficult child has started cycling pretty bad again more intense more frequently. She has had a couple of manic episodes in public, screaming in Gymnastics. She hid behind a mat and screamed she was scared and then threw herself off of a balance beam and curled up in a little ball screaming "I can't do this", It took me a 1/2 an hour to get her out of there and she was a wreck, limp noodle by the time she snapped out of it. But then cycled back up and down the rest of the night... Threatened me with calling the cops because I brushed her teeth too hard !!! I tried not to laugh at that one!!! But of course she proceeded to spike back up and elevate again.... I have had to restrain har a couple of times as well, with biting added for fun. Her violence is still not as bad as it was! But she is just a cycling wreck!!! She has been talking about the bad thoughts in her head again... giant worms coming to take her away... mean people. The night terrors have increased. Basically she has been on the Risperdal for about 8 weeks now and I figured it leveled off and needed to be increased. I have just been stalling... even though I know it is better for her to be stable. So I finally called psychiatrist in Chicago and she agreed, increase to .50mg bid. She actually is a bit concerned now about difficult child's dillusions and interest with death.... before she had told us not to worry about it. Not that anyone thinks she is suicidal, at this point but she is suffering. She does not want to add a mood stabilizer yet due to difficult child's age and would like to try this for awhile longer and see how we do, and watch the weight gain. difficult child is having some anxiety over that as well. It has been a long 2 weeks husband has been back and forth for work and now his family wants us to fly out to Chicago for his stepdad's 60th birthday (belated) party... I am nervous for difficult child. Anyway we do the medication increase tonight... wish us luck.