That is my dilemna! Our current psychologist is recommending a psychiatrist to further evaluate my difficult child to see if additional medication is required. difficult child was diagnosed in Sept with ADD, ODD and mildly elevated anxiety and depression (non-specific). Original thought with dr. who performed evaluation and difficult child's pediatrician was situational anxiety and depression after having been "indefinitely suspended" from private school. (He was back in school 7 weeks after suspension started). This past Friday, difficult child had 2 episodes at school where he totally lost his temper. He was able to calm himself down within 5-10 minutes and rejoin his classmates, but it worried his teachers. This also worried me because it hadn't happened since starting Concerta back in Sept. I have made an appointment with the psychiatrist, but here are my questions: Could the Concerta cause this? (He's on 90mg) Who is better equipped to handle these cases: psychologist or psychiatrist? I don't really want to see both (insurance covers the psychiatrist but not the psychologist). If additional medication is prescribed for anxiety/depression, what kinds of questions should I ask? What are good medications to work with the Concerta? Psychologist has recommended Prozac, but also mentioned that it could make difficult child hyper instead of calming him down so that he can work on his social skills. I guess the psychiatrist would know better??? Please help!