difficult child is on the following medications: Seroquel 400mg (100 am, 100 lunch, 200pm), Adderal 20mg XR (am), and Depakote 750mg (250 am, 250 lunch, 250pm). We've been titrating the Seroquel up for a couple of months, started at 25 mgs, and didn't see any difference until we hit 400. His aggression at home is better and he's stopped narrating out loud all the time. He slept great for about two weeks after we got to this dose, but now after a month he's back to waking up after 4-5 hours of sleep. If he would play quietly on his bed I wouldn't make an issue of this, but that's not what happens. He sings at the top of his lungs, he jumps on the bed, he complains for me to get up and make breakfast. In short, he's not satisfied until the entire household is awake. After waking around 3am, by 10am his mood has gone from giddy to grumpy, tired, and extremely angry. If he's not at home where he can crash, this is the main window of time where he gets in trouble at school, spitting, cursing, hitting, etc. I'm exhausted, my ten year old isn't getting enough sleep, we're all grumpy and miserable. Anyone have any suggestions? I'll talk to the psychiatrist on Wednesay, but if there are any ideas I can bring up to him, I'd appreciate it.