I really thought the new team was onto something with the thought that difficult child may be on the AS. Last night we go to psychiatrist and he's is adamant, betting his last dollar that difficult child is not, because difficult child can engage and joke. Can't people who are high functioning do that or is that impossible? psychiatrist says difficult child is definately ADHD and Bipolar. BUT THERE ARE TRAITS OF BIPOLAR difficult child DOESN"T EXHIBIT!!!!!!! He's never depressed, he's never truely manic and he has never once been up all night. Then there are a few traits he does have. He dismisses the fact that difficult child doesn't make good eye contact (it's the ADHD, he can't focus long enough to do it he says). difficult child used to flap arms and walk on toes when a toddler (dismissed). Now difficult child cannot tolerate a stimulant to save his life. We have trialed 15 different ones. Now psychiatrist wants to trial the Daytrana patch. This should be a lovely weekend! psychiatrist says the psychiatric hospital difficult child was in for three weeks in Aug would have picked up Pervasive Developmental Disorder (PDD) since they are the #1 hospital in the US for autism (difficult child was at Yale). Then I mentioned we are going to push for a new neuropsychologist evaluation and it seemed like psychiatrist was going to shut me down there too, but when I mentioned we could get it as part of our voluntary services he was like well that's a good idea. I was pretty pi**ed that he could not even entertain the idea that this is a possibility. He swears once we get the right medications the only limitation for difficult child would be whatever his level of intelligence is (which is high). Well, we have been with-him almost 2 years and we have not found the right medication combo at all. I know it can take a while, but no medications have ever helped difficult child improve at all. I know they are not the answer, but a little freakin improvement isn't too much to ask for, is it?