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I'm sorry you are going through this, we all know how exhausting physically and mentally it is. Try to take time for yourself. Know that this is truly an illness and when you can get him the right diagnosis and medications he should do better. When he does act like nothing happened try to focus on that. I know it's hard, but we have to try. I'm not a psychiatrist, but the changing like that sounds so much like my son. He is BiPolar (BP) and has rapid cycling. We call is Dr. Jekyl and Mr. Hyde.Some days are better than others and I am learning to relish them . Is your son on any medications? If they have put him on something for ADHD does it help or make him worse? I hope you get some answers.