She did well for about a year and a half and now they are back. We've had several in the past few weeks. I'm thinking she might need an increase in the Trileptal, because her Risperdal is kind of high and makes her tired sometimes. Admittedly, these meltdowns don't last as long as they did previously, but they are still very, very unwelcomed! Gotta make a call to the neuro and make another appointment.