So...M's out of control "manic" like behavior started Thursday night (after his last dose of Tenex was Thursday morning)...it continued all weekend...Friday included jumping all over the furniture, non-stop movement, speed-talking, exaggerated fake laughter, not being able to go to sleep because he was "too hyper" and roaming around the house and banging on the walls until he fell asleep at 10 PM; Saturday included him being hyped up, going to a birthday party where his rambunctious behavior ended up injuring himself and at least one other child, in a swimming pool (where he is not a strong swimmer) he was pushing rafts out into the deeper water and jumping onto them (out of character), and when he came home, he bolted into the street to stop the icecream man; Sunday he was still hyped up, we went to dinner at the in-laws and he was more emotionally fragile...put himself in 2 timeouts, stuck his finger in a fan to stop the fanblade!, refused to eat his favorite dinner, etc. Monday morning at 9 am I called the psychiatrist's office when they opened and left a message about our weekend and have STILL not received a return call. Apparently the psychiatrist does not feel this warrants any concern. M has calmed since the initial onset of the behaviors...we're seeing less speed talking, a reduction in the fake laugher (though it picks up CONSIDERABLY when his friends come over in the afternoon), and he's able to sit still for longer periods of time, but he'll still burst into fits of running around the house, stomping his feet, and repeating behaviors you've told him repeatedly not to do imediately after you've told him to stop (he'll say he forgot). He keeps flipping upside down on the couch, his brain is going in 6,000 directions...he asks me one question and even if I say yes, he asks me a different question...he's driving me crazy!