If your difficult child is taking two stabilizers and a stimulant, here's my question(s): 1. When you added the second mood stabilizer, did you have to reduce the amount of the first mood stabilizer? 2. When you added the second mood stabilizer, did you also have to reduce the amount of stimulant? Here's what I've noticed: When difficult child 2 was finally stabilized on Depakote ER, we were able to cut WAY back on the amount of stimulant needed to control his attention problems. He's now at 20mg Daytrana. Now that we're adding Lamictal (this is his 3rd week, now at 25mg daily, working towards 50mg by week 5), I'm wondering about cutting back on his stimulant further. He seemed pretty shakey this afternoon, too. And he was in a foul mood this evening until about an hour or so after he'd taken the patch off. His teachers report that he's VERY shakey and jittery at school still -- this was a big issue last spring when he was on a very large dose of Focalin XR (which was starting to make him manic). I'm wondering if this is the stimulant... His psychiatrist added Inderal a few weeks ago to hopefully help the tremor, but it doesn't seem to be doing much for him. I am going to call with an update in the morning, but thought I'd ask for feedback here, too. Thanks!