Hi. I have two kids with special needs and I wasn't sure if this is where I should post this but I did't see a forum specific for parents of kids with special needs. My son is 4 almost 5 and has been dx with ADHD, anxiety disorder, sleep disturbance, disorder of central nervous system NOS. The last dx is due to the fact that he has some symptoms of high functioning autism and some bipolar and not enough to definitively at this time say he is one or the other and because of his age they don't want to rush and misdiagnosis. He is seeing a therapist weekly and is under evaluation by Kennedy Krieger and they are doing all the testing so far he has had speech and language testing and also the ADOS test and is scheduled for psychological and iq testing. So far it is looking more like rapid cycling bipolar disorder. I have been charting everything for the last few weeks such as when he wakes up, how long he naps, behaviors, when he goes to bed, and general disposition. It seems 4-5 days of the week he doesn't sleep very much and is very hyperactivity and extremely impulsive and has multiple meltdowns and generally misbehaves. This is followed by 2 or 3 days of increased sleep, more pleasant disposition, not as hyper and not quite as impulsive. Problem is the extreme mood swings and aggression. Currently he takes guanfacine for the ADHD, and abilify for the aggression but recently the mood swings and aggression is getting worse and I am afraid for when he has to go to school all day in august. Currently he is in pre k and he does pretty well but he is only there for 2.5 hours a day and its first thing in the morning. Even now due to the fact that for most of the week he gets up very early he is sleepy at school to the point that they call me and he so far hasn't had any major meltdowns but he has pushed a child and drew on a child and kicked some of the other kids stuff around when he was mad. I am afraid if we can't get his moods stable and anger under control we are going to have some major problems and I am afraid he could hurt someone. We are thinking about switching his abilify to risperdal. I have heard some good things about risperdal helping children with extreme mood swings and aggression. I do realize he will have to have blood work done periodically and I am ok with that because he has to do that now for the abilify. I just really want him to do well at school especially because he is very very smart and things come very easy to him. He is already starting to read and memorize sight words and he is also starting to add small numbers and memorize math facts and I would hate that have his behavior hold him back. I am just curious if any other parents have any experience with risperdal and their children.
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