I've typed the first word for this post several times and erased it. My head is splitting. Sorry if I ramble a bit. My difficult child had been off all medications for a week, after trying Metadate for 4 days and becoming very aggressive. The neuro-doctor was on vacation. When he returned he suggested Tenex. We started it yesterday with .5 mg in am and .5 mg in afternoon. When I got home from work at 4:30 difficult child was asleep on the couch. At about 5:00 I went in to check on him. He was lying awake but kind of sleepy. We talked for a bit and he became much more animated. So, I decided to give him the second pill. He was his argumentative self for the evening - refusing bath, supper wasn't exactly what he wanted, on and on. He was cranky to say the least, but not aggressive. He agreed that without bath at night he would have to get up 15 minutes early to shower. He went to bed normal time. Well, this morning we couldn't get him to get up. He wouldn't shower, he wouldn't dress, he cried, moaned, became oppositional with everything. Not the red shirt, not the blue shirt - ask him to pick - no don't want to. On and on even though he was told he would lose TV privileges, until I said if he didn't get dressed in time to go to school when Dad left, he would spend the day in his room. That worked with much whining. He has left for school with clothes he chose. When he left he gave me a big hug and said he loved me and would see me when he got home. Then with the most angelic face says, did I still lose TV privilege? Yes, you did (waiting for the tantrum to start), and he said okay - guess I'll take a bath then when I get home. If it was possible, my head would have spun around. I decided not to give him the Tenex this morning. I couldn't see the point of sending a tired cranky kid off with medications that would only make him more tired. Maybe we have to just give him the one in the morning. I will try that tomorrow. An interesting point this morning was that he didn't want any clothes that itched, scratched, had tags, etc. Everything was "uncomfortable". We went through this once before where he would only wear "soft" clothes. Maybe there is a sensory issue? I hate being indecisive - medications - no medications. School insists that he needs some kind of medications. The psychiatric evaluation isn't until August. Probably because I have a cold and got my period during the night I am not thinking straight. We will see what the rest of the day brings. Thanks for letting me vent.