Forgive me, but my search hasn't really turned up what I'm looking for, so if this has been discussed in another thread, feel free to "refer me out." I'm concerned with the last few days and what I've seen my grandson going through. He had a few good days since he started taking Concerta. "Good" meaning somewhat reasonable, no one got kicked, hit, spit at, or called really foul names. He has an aide at school now and things have been going well there, but I still feel like I need more detail about that. Is he still trying, but not able, to have these behaviors affect others at school because the aide is on top of him all the time? He absolutely adores her, and she leaves tomorrow, to be replaced by another. difficult child is aware of this and seems okay, although it could be troubling him and trying to talk with him is weird; just ignores or says "I don't know" much of the time. His behavior has deteriorated so much over the last couple of days that it's just heartbreaking to watch. Anxiety, frustration to the point of getting physical over any little tiny thing, crying, and he looks so damn sad. He's happy while on the iPad playing math Bingo, sight word learning games, etc., but getting him to do any art, write a couple of things for his "homework," sending a thank you note (that was his idea) is potential for a meltdown because he can't make it perfect. This is new and really causing him problems; almost OCDish, which he never was before. I'm trying to figure out what's "normal" and what are contraindications that the medications need to be stopped. By the time you get through to an HMO and wait a week for them to call you back, a lot can be happening. He's a great reader, but only manages to read a few pages before he wants to stop. I'm happy to keep reading to him, but when he's done, that's it. So, for people who have kids taking Concerta, does this happen frequently? These fits and starts? Two steps forward, one step back? Or is this a sign of something more wrong than what we started with?