Monday when difficult child came home from php he told there were 2 new kids in his class and one of them and I quote, "he is just like me, he is mean, drives me crazy and I don't like him." I asked difficult child why he does not like him and he said, "he is too obnoxious and says really mean things." I then asked again, "he is just like you and you don't like him?" "Yes, he is not a very nice person." I then repeated he is like you, not a nice person and you don't like him?" He got agitated and said, "yes, that is what I said." I then told him, "well, maybe now you will understand why people get upset with you when you are mean and out of control." then it was like a lightbulbturned on his brain and he said,'oh, I guess so." I talked to his counselor there and told him the story too and he laughed and told me they keep getting into verbal arguments and they are too much alike. Henthought it was funny that difficult child thinks that way. There are 2 psychiatrist at difficult child php. The one I like called yesterday to talk about difficult child depression and outbursts that have been happening. We had a long talk and he has a really detailed plan on how to proceed. First, he wants to take him off Daytrana for a few days to make sure the depression is not from that as sometimes there can be negative effects. Since he had a really bad effect from Vyvanse 3 weeks into taking it certainly is possible. If they do not see an improvement in his mood or depression they he goes back on it. At home we have been having horrible outbursts in the evening at bedtime where he gets so out of control, throws things, throws things at me, tries to hit me and husband, slams doors, knocks things over and tells us "you hate me, you wish I was never born, you are soooo mean to me (because I tell him it is bedtime!) I wish you would just shoot me and so forth. (but smiles after he makes the shoot me comment). The last 2 days I have actually had to hold him in my lap (not easy to do!) and talk calmly to him to calm his brain down, don't listen to your brain and so forth. (he always tells us his brain makes him do these things) after 5 or 10 minutes he snaps out of it and is himself again. At that point he apologizes and gets upset that he did those things. The psychiatrist is having us hold his daytrana to see of this is a rebound type of thing. I don!t think it is but we will see. If it does not get better he goes back on daytrana and he is going to add clonidine in the evening to help calm him so he can sleep. Finally, after all that is done and if he is still depressed he wants to add an antidepressant. I am happy with this plan as this addresses all my concerns with his worsening behavior. I just cannot believe how much difficult child has changed since Aug when this all started. The only thing that changed when this happened was starting 1st grade which is all day vs kindergarten which was half days. We have had some behavior issues prior to this but nothing like this. It just boggles my mind how fast he changed. I imagine difficult child at php is quite interesting today and they most likely have their hands full. He was at this php in Oct for a week when we had not even started medications yet (had to get clearance for cardiac issues) so they have seen him full on ADHD but it will be interesting! Oh and if he goes back on daytrana they are considering going back to 10mg since he has a flat affect in the afternoon on 15mg. The good news is we got our insurance company to pay for daytrana even though it isn not normally covered.