Today is day four on the patch. We are alternating hips as recommended and she seems to be ok. My major concern is with mood. I haven't seen any worsening of her mood so far but I will be keeping a close eye on it. Personally, I think she was doing better with the Strattera but getting her to swallow it is a lost cause. We've tried many of the tricks suggested. My daughter is stubborn. Not only stubborn but she also has trouble with self awareness. Even though I saw a change in her with Strattera, she would say that she didn't feel any different. Same now with the patches. When asked how she is feeling, the typical response is that she does not know. So, I have to rely upon what I see. Not a perfect method but it's all I've got to go on. We've tried several exercises meant to get her more self aware but either she's throwing up road blocks or she truly is not in touch with her internal states.