I took my daughter to her shrink appt yesterday. The pdoc wanted her on seroquel but my family is so against that particular med because we've all been on it that I declined, at least for now. He's decided to lower the intuniv and see what happens. He probably will take her off of it entirely. In a week she stars risperidone for racing thoughts, self harm, etc. If he decides to d/c the intuniv (likely) he will start her on either an AD to see what happens or a mood stabilizer. We hope he sleep improves with mood improvement, but I will continue to educate my family. I reminded them that risperdal is only slightly below seroquel in terms of weight gain (primary concern for her) and side effects. We'll see what happens I guess.