Hi everyone: Been a while since I've been on since it's been so hectic at home and work. I thought the best way to do this would be an update and then list my questions. Overall, difficult child continues to do "OK"; basically he stays away from anything that will remotely cause him stress or make him uneasy. School finished OK as well. He's still great about taking his medications himself with minimal reminders. However, he does still become unglued if you take him out of his comfort zone at all and he is still paranoid/anxious most of the time. He can just hide it now under "normal" home circumstances. psychiatrist wants to add lithium to the medication mix and start decreasing/eliminate the Geodon starting in July. Although we have not had any problems with the Geodon, the concern is due to unknown long-term side effects and his still constant cycling - combined with the inability to increase the lamical anymore until he gains some significant weight. Obviously, there's a good chance that the Geodon may not go away completely . . . but that was psychiatrist's stated goal. I think difficult child may stay on at least a low dose; but we have a great psychiatrist who will listen and work with us. To make matter worse, difficult child will have to go back to public schools next year due to a pending job loss for husband. school district is extremely hard to work with; difficult child went to a private school for special needs kids the last couple of years. I had a child that would sit in a catatonic state and just wring his hands for hours on end; yet there was "nothing wrong with him" according to school district - when he wasn't raging. Of course, he was just extremely hyper at school when he was there and was constantly in trouble for dumb things. We originally went back to the school district this past spring for evaluation just to keep his IEP active and try to get him into what is supposed to be a very good therapeutic school in the district. school district is going to put him directly back into mainstream with supports added "as needed", potentially behavioral intervention and speech testing. The evaluation they did had the psychiatrist and husband pretty upset. We were hoping to wait until HS to try to go back with hopefully better results (different caseworkers). Fortunately, husband has decided he will handle everything with the school district. My Questions: 1. What are the side effects associated with starting Lithium? How long before we hit therapeutic levels; difficult child is about 105 pounds. 2. Does anyone have any experience with the combination of lamictal and lithium (lamictal has been a bit of a god send for our son). 3. How does/will Lithium impact the anxiety levels? Or is this driven more by the bipolar not being stabilized (I know that the anxiety can be a separate component as well - just never sure how much is which). 4. The school district clearly accepts the medical diagnosis right now - but medications are supposed to fix everything. They cleary view difficult child's potential lack of cooperation with homework, etc as just that; not difficult child being unable to cope with day-to-day because he can't say why. Any suggestions on how to explain this so that they can witness it in an objective fashion for themselves? difficult child will sit in any meetings and definitely agree to do what they say; then can't. Thanks!