My son is on lithobid (which takes care of most raging and manic symptoms), depakote er (which takes care of hypomanic symptoms- at least to some extent) and risperdal PRN. When he's hypomanic, he will talk in class when he shouldn't, has problems sitting still, sometimes get a little rowdy in the hallway, etc., but nothing like the completely erratic behavior that I see with full-blown mania. The problem is that since he was put on the depakote, a year ago, his memory and a few other abilities have plummeted and it has greatly affected his ability to learn, retain knowledge, and get decent grades. The psychiatrist is willing to try reducing the depakote, but when I mentioned this briefly to the principal at school, she didn't seem too thrilled. I'm sure she isn't thrilled and that none of his teachers would be and of course, they have no authority in this decision. But, I'm wondering if anything can be done regarding the IEP to ensure that if we try this reduction (in depakote only), my son won't be written up for disrupting class or something every time he's being hypomanic? I realize the rest of the IEP team (which are all from the school) would need to agree. Also, my son is in mainstream classes- regular science, collaborative English and Soc. Studies (meaning there is a teacher's aide in the room) and Algebra (which is an advanced class). He's been working well with The Explosive Child techniques and I believe that they should be able to send him to a "safe place" or something if he's hypomanic and disrupting class. Actually, that is already written in his IEP but has never happened because they tell me the teacher's can't possibly be qualified to determine if he's hypomanic, so if he's disrupting class, they will send him to the office. Then, the administrators talk to difficult child and difficult child says he realizes he shouldn't be doing XXX so he gets chastised, and sometimes punished. difficult child realizes that he shouldn't be disrupting class, however, I don't think he can help it when he's hypomanic. The administrators look at it like if difficult child acknowledges he did something wrong, than it was willful and deserves the same treatment as anyone else. So, it is already a strain and I feel this would just make that worse. on the other hand, the whole point of the IEP is to make sure the kid gets accommodations needed to get his education. And the medication is putting a damper on that. Suggestions?