I'm new here and this is my first post. I have read many and have found postings very helpful. We recently have been given a diagnosis of Bipolar to the addition of ADHD with our oldest son. Medication prescribed is Adderall XR 20MG (morning) and Lithium Carbonate 450 ER (night). After 4 nights of half doses and 5 days full dose only small results ah ha moments have occurred. Still seeing impulsive behavior and inappropriate behavior. I'm not familiar with Bipolar, he was diagnosed with ADHD when he was 6. It's been a rough, rough road! We also have a 7 year old son and the hostility in the home especially for him is overwhelming and mimicking behavior is becoming an issue . If anyone has any advice on what changes we should be seeing adding the Lithium, or any advice at all, I would greatly appreciate it! Thank you!