psychiatrist is going to write a letter so I'll have that to go along with the letter from therapist. Hopefully, psychiatrist will just keep diagnosis to BiPolar (BP) and adjustment disorder- we discussed it- I think he understood why it's important- mainly because that's the diagnosis he gave him that I went to court with last year and because that's what he's rx'ing medications for. Anything else jsut confuses people- especially if you go to other laymen with a handful of diagnosis's. And---medication change!! We obviously aren't going to try adding an AD as originally planned to due the cycling that's going on now. He took depkote er out altoghther (silent, mental YIPEES running all through my mind). He debated over seroquel and ttegretol and went with tegretol, keeping the lithobid as is. I should have pushed for seroquel maybe- I kicked myself in the rear on the way home for that but honestly was worried more about the letter and needed info from him while in his office. So, other than his precaution about a very slight risk in blood count changes and resulting infections, any other info I need to know about tegretol? We go back in 2 1/2 weeks so if it isn't doing much, I'll ask for seroquel instead. I will say that when psychiatrist debates things like this, he does think out loud and it sounds like he really is trying to take difficult child's specific symtoms, patterns, previous side effects, into consideration a lot,, which I like. They all should, but at psychiatric hospital, they tend to have regular medications that they just give to any kid in their with similar problems and don't look at specifics for a kid, of course, they don't know the detailed history like the regular psychiatrist does. Anyway, good riddance to the depakote and side effects!!