Well we've been so happy to see such positive results from the Seroquel, that the doctor decided we try and remove the Tenex he was first put on. So we decreased his dose just 1/2 pill and a week later his behavior became very impulsive, he was hitting us at home, just being mean. Then I get a call from the principal that my son gave a note to a younger student telling him to "Die!" and such. So since my son was only in 3rd grade, he was told to write a note of apology to the child. Had he been in 4th, it would have been an automatic suspension. This all coming from a kid who has never acted out in school. In fact he just won an award this month for "treating others as you want to be treated". So obviously, he has been going through a mood swing this week with the decrease of meds. My son has no idea why he did it. It was just impulsive behavior. He even said that he wanted to go back to his old medicine dose since he wasn't feeling right inside. This makes me feel very sad today. Another moment to realize that my son is experiencing a real disease inside, that can have serious consequences in the future. And as my son explained today, "it wasn't me", he still will have to face the serious consequences of his impulsive behavior. I know the heart of this child is one that is loving and kind. I really hate this disease today, and feel very alone. Mom of 3 boys, my oldest son (9 yrs. old) has a mood disorder.
Check out my blog at: http://mysonhas2brains.blogspot.com/
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It is so hard to watch my brilliant daughter behave, well, alot less than brilliantly. For me, the worst part of this illness is trying to get - and keep - the impulsivity under control. You just never know when their judgment can be trusted. 
and best wishes.