So, we had our psychiatrist appointment yesterday after M was getting more frustrated and explosive/violent on the increased Tenex. psychiatrist decided to take M completely off the Tenex...cold turkey! I must have protested three or four times saying, "But I was told you had to wean off of Tenex..." and "Are you absolutely POSITIVE he doesn't need to slowly titrate down from it?" and "You're sure...just cut him off of it, cold turkey?" and psychiatrist insisted that M hasn't been on it long enough for it to be an issue. Now, gulp, here is psychiatrists tentative plan and it scares me to death...after getting M off of the Tenex, we're meeting again in 2 weeks...next change is going to be to get him on ONE medication, being a different atypical antipsychotic, probably Abilify. We have not had success with the AP's...we've done well with Seroquel, but it's not enough alone and he doesn't tollerate medication tweaks (increase it and M can't pee...cut it too fast and he suffers TERRIBLE withdrawl vomitting and nausea). Zyprexa did squat for him and he landed back in the psychiatric hospital. And Risperdal made him a zombie, raised his prolactin, gave him double vision, and caused a vocal tic. Celexa, with the Seroquel, is so far the only thing that has eliminated the rages. While we'd like to see better control of his anger, irritability, and frustration, the rages are what land him in the psychiatric hospital and make life unlivable. I'm so afraid that this medication change (getting rid of Celexa) will get us another psychiatric hospital admit. At the same time...I kind of bet psychiatrist is on his way to a mood stabalizer. Question....Is there any way to be on TWO AP's at the same time? For instance, could M remain on the Seroquel while introducing the Abilify? Or would he have to wean off of the Seroquel completely first?