This week is difficult child's medication check... He's been on Abilify & tenex for forever... and he is maxed out on the dosages. He still has all the same issues, although the medications taken at night help him wind down for sleep at a decent hour, and i suppose they do curb some of his agressive behavior during the day although it's hard to believe... He's already trialed almost everything out there. I don't know what to ask her for, or does he keep sailing along on what he is on now? He has no care of personal hygiene. Ocassionally he will spiff up for something, but mostly he looks bad and doesn't care. He gets aggressive when he doesn't get what he wants and if he wants something he gets obsessive about it. as far as mood stabilizers... depakote & lithium were disasters. Focalin seemed to help only a little bit at first. name it and he's probably tried it.. Not much more to try. Any suggestions?