psychiatrist just added abilify to the tegretol and lithobid. I told him I had made a parental decision and decided to try a few days without the naltrexone and things are looking good on that front. He told me that was fine- just keep some around in case cutting starts back. He also said it was ok to give difficult child nicorette gum if the urge to smoke became to great and was making him too restless. Then , he ordered a sleep study. Or- he wants a sleep study done but says I need to contact pediatrician to get it ordered. Funny how PO thinks all this can be lectured out of difficult child.