Hi, everyone! difficult child has been on low dose of lithobid and depakote. psychiatrist added trileptal- we were going to titrate up on it and down on lithobid to switch them out. This is the second time we tried lowering lithobid- neither time worked too well as raging came back and trouble sleeping came back. So, I put difficult child back up on lithobid and was afraid to keep titrating up on trileptal, since that would be approaching therapeutic level for 3 mood stabilizers. I have kept him on one 300 mg trileptal per day (about one week)- we go back to psychiatrist next week. The question is, could this be enough to keep difficult child hyper? It seems like he has been in hypomania since the second or third day of trileptal and the school is having issues like this too. He's been back on the regular dose of lithobid for a week, so that shouldn;t be it. Actually, the lithobid takes the edge off the major issues but doesn't really help his "hyperness" anyway. I realize that trileptal shouldn't cause hyperness, but it really seems to be- has anyone else had this experience? I'm thinking of just stopping it and telling psychiatrist next week that it didn't work.