After trying the 5mg of Focalin to address difficult child's bedwetting, his shifts in mood stabilized and the Focalin proved to be a great asset to his medication mix. He started school with no problems and has continued to do well in his classes. His mom was concerned initially about difficult child starting school because he was going to be out side the self contained classroom he had been in the previous year. Any rages or tantrums would surely mean a return to the unit. So far, all is well. But despite all the positive improvement in behavior and mood, difficult child continued to have wet nights - on average having one dry night a week. We decided to add the DDAVP back into the mix (.2mg), It took awhile for things to sync up, but I am proud to say that difficult child has been dry every night so far this month! Very, very cool I was especially pleased that difficult child took a vacation with his family over the Labor Day weekend and was dry the entire time. I was glad he was able to enjoy that experience without the issues related to bedwetting. difficult child's psychiatrist raised his Focalin to 10mg briefly. This lasted only a few days and difficult child reported feeling manic and having trouble concentrating. I was pleased that difficult child was able to recognize this. His Focalin was moved back to 5mg. So for the moment, it's all good in the neighborhood! Christy: Yes a bedwetting alarm had been proposed. His last urologist pushed it very strongly. difficult child, his mom and I were opposed to it. difficult child's mom felt that difficult child would just sleep through it and it would wake up everyone else in the house. difficult child disliked the idea of anything being clipped to his underwear (or the fact that his underwear was being discussed). I wanted something more immediate and the long (and previously tried) idea of bladder training just seemed to guarantee difficult child a future of many wet nights for the foreseeable future.