[QUOTE=ktbtjmom;2927286] I am very worried about her and would like a med change.

Of course you are!!! Who would not be?

1) How often does she see a psychiatrist?

2) Does she have a pediatrician? If the answer is "yes", has the pediatrician checked her physical health parameters?

3) Do you have access to programs for overweight kids?

4) Both Lithium and Abilify can do that. However, they are not the worst offenders on the drug market, in that department. In other words, there are drugs that are even worse, so your options would be limited. Plus, not all the drugs on the market are specifically FDA-approved for pre-adolescents.