When my son was misdiagnosed with bipolar, I hung out on a bipolar chat board for parents. My only experience with Straterra is that almost universally the parents who posted on that board would complain that, after a month or so, their kids got considerably worse. My own opinion, which is far from medical but mostly from what I've heard, is that this is a very bad medication for a bipolar kid. On that particular board, many parents just dropped any medications for ADHD and concentrated strictly on stabilizing the bipolar. I haven't been back there for years and don't know how that board is now, but I'll give you the link. (I apologize if I repeated anything as I didn't read the other responses). I want to add that this medication works well for a child in my daughter's class who has ADHD, but she is NOT bipolar. I think that is the different. Straterra is an antidepressant. Good luck and call your psychiatrist