My difficult child is on the autism spectrum. This is making it difficult to get psychiatrists to look at the possibility of bipolar. This week and a portion of last he was pretty much non-functional at school (very out of control/giddy/hyper). Normally he requires frequent breaks, sensory accomodations and most often 1:1 help to get through a day. Over this last week none of those things made a difference-it has been survival mode at school. At home the only way he can maintain is to play computer games, as soon as his time is up, his behaviors/giddiness emerge-he simply cannot focus on anything even sitting down to eat. I have noted this 'cycle' of extreme giddiness/mania since the beginning of July and he had two good months in summer and since then it is 3-4 weeks between 'cycle's that last 4-8 days. But the psychiatrist always asks "how is his sleep?". With the exception of a little harder time falling asleep and maybe a night waking or two, his sleep is ok...it seems the 2 psychiatrists do not want to diagnosis bipolar based on the fact that he does not have sleep problems.