Does anyone have any experience with Tenex and problems with increased irritability and aggression. I'm supposed to start difficult child on this Monday; but I'm concerned about this. difficult child was on it years ago in addition to stimulants to help decrease the irritability (he was 5 or 6 at the time); but I don't recall it ever having any impact. I'm concerned about any potential problems because of how is is acting. difficult child is highly manic/hypomanic. Last night at the therapist's office he just let loose. And it wasn't more comfortable; it was loosing any inhibitions. Highly agitated and excitable and irritable. therapist was shocked at how fast he was attacking me verbally. difficult child was talking about horrid dreams to therapist last night that had a few times this week; other dreams are constantly about fighting. I don't know if he was making this up or what? These are things that he would normally never just volunteer. difficult child also told me that he didn't get any sleep last night - but he was able to get-up for school this morning just fine - a little sleepy. I've seen difficult child with severe anxiety, agitation and depressed; but never anything like this. Not the manic piece, anyway - it was always wrapped around the irritability. I have a call into the psychiatrist about the Tenex and what, if anything, can be done for difficult child. This has all happened so fast; I'm sitting here trying to figure out what I might have missed.