My 11 yr old son has been on Abilify and Lithium for two and a half years. He definitely still has hypo manic swings in the evening. He gets giddy and runs around the house. He also has a "low" time around 3pm. I often wonder if there is some relationship to blood sugar levels, ie, low in the afternoon, higher in the evening after supper. PS: I am going to wean him slowly off his Lithium because I feel like we're sort of double-dosing with two mood meds. He's developing tardive dyskenisia and extra pyramidal symptoms. It's sad to watch this happen to a once very sharp little boy. You also mentioned paranoid thoughts. It has helped his p-thoughts and "atypical" thinking. Best to you, God bless