Miles2go, does your psychiatrist specialize in children with-bipolar? Because he may be looking for a horse instead of a zebra. I don't like it when doctors make assumptions based on general statistics. FWIW, you could try a different medication, or try giving it to difficult child at a diff time of day. Use a Saturday, for ex., and give it to him in the a.m. and see what happens. It's your kid.