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I'm curious how some of you may have handled this - we have tried stimulants with varying degrees of success, but the most successful was Methylphenidate - night and day effect with my difficult children.  The problem is when they come off it, they are absolutely hell on wheels.  We tried some of the longer acting options (Concerta), but that didn't do anything at all.  We haven't tried Focalin yet.  We're trying guanfacine, which does some good, but nowhere near the same.  Have any of you done anything to specifically treat the rebound itself?  I'd love to have the positive effects of the stimulant, it makes such a huge difference in their learning potential.


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