so if you guys could keep fingers crossed for me, I'd really appreciate it. Dylan! The Lithium is definately staying. He's still good at 900 mg., right around .90. We have been weighing the good vs. the bad on the Abilify. I am very uncomfortable continuing on with this medicine, for the weight gain problem alone. Dylan is huge, and no matter how much we try to cut back, and how much he HAS cut back, he is not losing one ounce. In all honesty, his things just keep getting tighter and tighter, and bigger and bigger. Think Michelin Man. Pillsbury Dough Boy? He's huge. His double chin is growing to a triple. We (psychiatrist and I) are both pretty sure it's the Abilify moreso than the Lithium. The Lithium cannot go. So, we're thinking about removing Abilify and adding Concerta Yes, I'm a lunatic I am still tossing this around in my mind until our next psychiatrist appointment, which is a week from tomorrow. I know what stims can do to BiPolar (BP)'ers, we've trialed them all. Although, alone. Yep, I'm a teeny worried. But, his ADHD, the ADD part, is bad. I wonder now, a couple of years later, more stable, having been so calm so long, if this could work. I think I would like to try. The nice part - if the stimulant doesn't work, we can do a switcheroo right back to the Abilify. But I think I'd like to try this. Lord, help me LOL! Thoughts? Suggestions? Eek. Forgot to add, the reason I don't want to ADD the Concerta, is because I don't want him on too many medications. I know, maybe selfish on my behalf, but would rather try it this way, unless there's a really good reason not to?