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Too soon to tell conclusively. It seems to cover the additional "something else" that we weren't quite able to grasp. ADHD: yes,  but something else. Anxiety: very much so, but that didn't quite catch it, either. I'm unsure of the constant irritability in this diagnosis because I was putting that down to anxiety and always kind of being half (or fully) in trouble with school, his father's house, his mother's house, my house. So, I don't know. They added Abilify, 2.5 mg, to the Intuniv (stimulants seemed to be feeding into his anxiety, so we took that out). The Abilify has kicked his butt as far as fatigue goes, but I have to say, things that would have been a crisis of temper, property damage, social disaster, and major school problems has been better. There are more regulated days than dysregulated ones. I feel like this boy is a moving target and we just take it day by day. He does seem to have cycles of relative ease with himself and his world with cycles of lots of things being hard for him (and hence, all of us). We don't see the extremes highs and lows of classic bi-polar and there isn't any bi-polar that we know of anywhere in his family tree, but he is exactly like his father in looks and temperament and is so much like him that it's startling. And his father has trouble in his life, too, and always has. I feel that there is genetics at play here.


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