Little update We are bumping up the Lamictal to 75mg and then if that goes smoothly up to 100mg. Keeping the Focalin where it is, she only takes it in the a.m. to get through the early part of the day. Who cares if she can't sit still or focus the rest of the day! LOL, JK We are actually waiting to mess with anything else until up to a good therapeutic level with Lamictal. psychiatrist is very concerned with her HYPER-SEXUALITY! as am i... (not yet) WAAAH She wants us to start being flat out firm and strict. "Go to your room to do this" "This is NOT allowed in the rest of the house" she wants consequences. She feels K is so mentally immature that she just does not get the reasoning when it comes to masturbating etc. She does not need a therapy like setting (i.e; reasoning) same with School and her social issues. No more "I feel" and hashing out how other kids make her feel and how she feels kind of things. The therapeutic reasoning in school is causing her to become too confused and have too much to process in her mind. We need to make it more simple, or her teacher does. Like the masturbating, "Stop now". "TV is being turned off next time you do this" "Go to your room now, take a break" She is not being punished for the act, she is learning how to stop doing something inappropriate in front of people. We are still going to talk about why etc. but not during the act. She also confided in psychiatrist that the hallucinations are getting in the way of her School. They are coming at bad times. So we are watching and hoping the Lamictal helps her with stability and then we can pick next medication if needed from there. She seems to be a lot more out of touch with reality lately. So we just trudge forward as usual. But in a lot of ways the Lamictal is helping her over all. Her mid-line is better. The in betweens. Know what I mean?? So who knows? She is doing pretty well since Tuesday and actually talked to psychiatrist, Monday she wanted to die and hated having BiPolar (BP). Today she is ecstatic because she is going to sing in the school program, I think??? Delusional? She is such a funny kid! I say this in only that way a Mother of a difficult child can.