Just thinking out loud again here... I read on a couple of different medical sites that Tenex can induce manic symptoms in children with ADHD, and am now wondering if that explains why difficult child 2 had the wild "flight of ideas" and assuming what strangers were thinking about him, and the physical twitching last week when he reached the peak of 2mg Tenex per day... Funny how no one ever mentioned that as a side-effect. Odder still that psychiatrist wanted to INCREASE the Tenex and add Abilify back into the mix. I also wonder if the different stims he's tried over the past five years, while they did wonders for his attention, aren't the reason for his obsessive fixations (wanting me to buy him a pet lizard when he already had 12 at home he'd caught in the yard -- and flying into a rage when I wouldn't comply with his wishes; or receiving a paper airplane book for his birthday and then only wanting to make paper airplanes every waking moment for weeks and then teaching kids in his class how to do it because he's such an "expert"; or finding his M.C. Escher book and carrying it around with him EVERYWHERE and wanting to show people pictures in the book at inappropriate times; or the blasted Pokemon games he is addicted to...) He's now at day 7 of his medication wash and I am ready to run away from home -- it is soooo hard every day -- he is so hyperactive (climbing, jumping, rolling around on the ground, pushing on things with hands/feet/arms/legs), hyperemotional (inappropriate laughing and loud protesting/complaining), hypervocal (screaming, yelling) and yet seems to be hyposensitive to his environment to some degree (gets smacked by sibs and/or me (I know, we're all out of control right now) with little effect). therapist appointment tomorrow and then psychiatrist 2nd opinion on 7/6. Would it hurt to go back to the short-acting Focalin when needed just to get him through until the 6th alive? Or is that going to taint the exam(s)?