Well, things have been pretty hard around here the last few months with the grandson. Had him on just guanfacine (generic Intuniv) and no stimulants. When we got to the doctor today, a new one, she added this diagnosis to the ADHD and Anxiety disorder. Poor kid. It sure does sound like him, though, I must say. And she added Abilify, 2.5 mg before bed. She saw the look of shock on my face when she mentioned risperdal (think that's what it's called) because some of students are on that and it's scared me pretty bad. But after reading the side possible effects of this whole class of drugs, it's ripping my heart out. And yet he's not doing well and we can't really take much more of the melt-downs, property damage, and physical injury. He's also talking about sexual stuff that he's heard around the playground, but he doesn't have the social filter/skill to not use the words to girls...yeah, got suspended for that one. His father, that he's supposed to see three weekends a month, is convinced he's a sexually volatile predator and won't let him in his home until he's "sedated," to use his exact words. The kid is nine. He's so cranky, hair-trigger temper, socially struggling, the works. He's got an IEP finally for emotional disturbance as his primary qualification, and ADHD (Other health impaired) as a secondary. He has a one-to one aide in the classroom, although she keeps her distance, a counselor coming to the school weekly for a 45 minute session, a wonderful teacher, and a pretty decent principal in a small school (350 kids or so). I just don't know what else we can do. I guess I'm just venting and if anyone has any thoughts to share about the DMDD thing and the drug, I would love to hear from you. I'm envisioning in my head this kid that can't stop eating (his father is obese, but grandson isn't), has permanent muscle disorders, and won't be helped by this drug. I'm so sad. I want to be hopeful.