I am a dad with a wonderful 7 y.o. son who early on had strong tantrums of frustration-intolerance kind, then was bugging other kids so as to get kicked out of a couple of preschools. Not much of impulse control, though observes his own safety. Never anger problems, an easy smile and has a good time most of the time. In school at first "typical" ADHD behavior -- outbursts in class, not doing classwork, impulsivity, cant keep hands to self. Tried amphetamines (Adderall, Concerta) -- gets him buzzed up to the point of quieting down, but in a few weeks even teachers (who are happy that he's no longer disruptive) begin to worry about his subdued affect and behavior. Then he has a big meltdown, bigger than without Concerta. Tried guanfacin which dulled his tantrums or manic fun, but made him more irritable to the point where he'd get aggressive when frustrated, never before. So weaned him off of that. Docs now more or less rule out ADHD, diagnose bipolar and suggest Abilfy. I haven't started him till tonight -- he is so normal with me, but at school -- doesn't do work and has a far-out event now more and more often -- got a call at work friday (kissing, running away), monday (major tantrum in the principal's office), then suspended for two days, now today, with a new personal aide, playing passive resistance (run away and lie down). Then, as he's getting picked up early by grandma, his recess chase (stole a boy's shoe) escalates to him running across a busy street with 6 teachers+staff trying to catch him. Eventually they locked him in a bathroom, which he proceeded to fill with all the toilet paper and towels he could find. By the time I got there a cop was called who was talking to my exhausted and calm son (a spank from his grandma switched off the manic state), resting under a blanket. So I started him tonight with a 0.5 mg of Abilfy to ramp it up to 2mg or 4 mg, but I still have the feeling that I am medicating him with such strong stuff just so that I don't lose my job, when a smaller class or home schooling + some good workout plus yoga would solve all his problems -- one-on-one with me he's just a delight although gets into boy's mischief and has his frustrations. His mom and some of her family definitely exhibit bipolar II symptoms though never officially diagnosed. Sorry for a long post -- trying to get as much info on this as possible. And yes, this has almost destroyed our family and my sanity, but that's no news in this crowd I suppose.