It has been a long time since I posted, and I don't know if this has already been talked about here, but I wanted to let you know about genetic testing that is available. It's called GeneSight - it's a cheek swab. It gives a bunch of information and gives a list of medications that should work, ones that might, and what I call the big, fat NO column. They have it for ADHD medications, AD's, Atypical AP's, and now mood stabilizers. It was a life saver for my difficult child. She was in crisis and we were all afraid to try any AD because of her reactions to them. This told us what was safe, and all of the medications she had bad reactions to where in that big, fat NO column. If insurance doesn't cover it, they offer a very affordable sliding scale ($0-$50,0000 annual income would be a cost of $20).