and I hate medication changes. About a month or so ago we increased difficult child's daytrana due to increased hyperactivity, impulsivity, and he was just on the go. The first week I saw no change, the second week he was great! Thoughtful, kind, calm, everything I knew he could be. Well that only lasted a week. Then it was back to impulsivity, hyperactivity, really wound up. So we added Vistaril 25mg twice day, then 50mg twice a day, and I saw little or no improvement. It got worse, now we have belligerent, rude, oppositional, and driven. Even a few Obsessive Compulsive Disorder (OCD) traits. He HAS to have 5 blankets, has to be covered up one blanket at a time. So now we are increasing his abilify from 2mg in the am and 5mg in the pm to 5mg twice a day. If that does not do it, I will ask to decrease the daytrana back to 15mg and keep the abilify the same and see if it was partially that the abilify needed increased and partially that the stimulant was too high. What is interesting is that his body seems to be getting used to the stimulant. For the first 3 weeks his appetite was really off, he lost 3 lbs and only weighed 83lbs to begin with. He is a really small guy, wears size 10 jeans, and now they are loose in the waist. husband??? Is being a pia too. He missed his neuropsychologist evaluation as he was a bleepity bleep and would not wake up. At least he apologized, which is a rarity in itself.