My son has never actually been diagnosed from any testing. He see's a board certified child psychiatrist. As I said in other posts, he see's it as a waste of money for a neuropsychologist test or others. He wrote bipolar not otherwise specified/ ODD when I asked for a diagnosis for school. He has said on visits that we are treating him for bipolar. We are treating him for mood disorder. He says he see's some depression / anxiety. WELL I see A LOT of anxiety, more than anything else. yes..his moods are up and down, all depends on how the day went. Lamictal has definately helped his moods, but sometimes he is just so defiant and yelling and arguing having outbursts, saying mean things. But he is not violent, never has been. Just very, very defiant. Most of what I read tells me bipolar kids are violent. Are they? Does it mean he will become violent as he grows older? I was told by a teacher last year that difficult child has a conscience. If he has an outburst in his room (science), difficult child will always come back and apologize. (not to all people/teachers). After a difficult encounter at school or home, difficult child will seek out someone to speak to. I have friends across the street, with two easy child's about same age. difficult child will seek her and her husband out to just talk to if things are going bad. He will also call the old counselor from elementary school. She is sill very much in touch with him. so, what is the real difference between mood disorder / bipolar / ODD ?? He does meet every single criteria for ODD. also has sooo much anxiety.