Thanks, Smallworld, that was the answer I was hoping to hear! psychiatrist agreed today that maybe the lithobid wasn't doing so much so we'll start (slowly) decreasing the dosage. Between the holidays and spring break is difficult child's worst time, so I'm not holding my breath. But it would be great for his acne to clear up a little, me not worry so much about side effects, and him actually be able to remember what he read for class! I was hoping it wasn't the depakote because it seemed to help more with hyperness, talkativeness, etc. The lithium worked miracles with raging (only) the first couple mos. but now I see those tendencies again. So far, difficult child is able to notice it and reel himself in. We'll see what happens with a decrease in dosage- psychiatrist said to watch carefully and increase it back up at the first sign of an issue. I'm with that!!