So psychiatrist3 started apt by actually talking to K... asking her questions. SHe had a hard time answering, shy, anxiety who knows? "I can't remember" Was her answer. We discussed everything, he is very happy she is doing so well at school, making friends etc!!! So am I, she has never had a friend before, and she told psychiatrist she was the "cool" girl!!! LOL He said he didn't know how to go about an IEP or 504 at this point??? He then said what I thought, he doesn't want to abruptly stop the Abilify, and with her extreme hyperness before school and after as well as her inability to focus after school, he wants to help that and decrease the Abilify... He felt bringing out whatever the Abilify is helping as well the other symptoms that are pretty bad right now would not be good for her or school or even me!!! husband is going to working 2 weeks back and forth starting next month!!! So he wants to start Tenex, drop Abilify to 2.5mg BID and keep Lamictal the same. See how she does? Apt was an hour and he really listens and I think wants to help us. He also said he does not want to do any MRI/EEG studies because he would want her off of medications to do an accurate one and all of the time and effort we have put into Lamictal... so now is not the time, he feels. And the medications would be helping a seizure disorder anyway, he feels. ??? I have had a few minutes to read a bit on Tenex... doesn't sound horrible... only found stuff for ADHD kids. Must run, I have an extremely wound up 6 yo... ugh.