On days in which he wakes up to late for his metadate, he is impossible to deal with. He is angry all day and literally climbing, running, destroying, crying, knocking things down, and nonresponsive to directions or even his name being called. On those days, he is unable to stick at any of his favorite activities. The Metadate makes a huge difference for the period of the day in which it is active. The only negative thing about the Metadate is the impact on his appetite. It is very difficult to get him to eat. Sometimes I am even wondering if the tendency not to eat is generating some type of hypoglycemia because he does not snap out of the bad mood until after he has eaten. The difficult thing is that this ravenous appetite comes on all of a sudden and occurs during the mood swing. We have tried a short acting small dose of Focalin during the wearing off period but it did not have a viable effect. His doctor's current thinking is that he has difficulty going from the medicated state to the nonmedicated state. That is why he started the risperdahl. We have not however tried the increase in Metadate that you suggest. That might be worth a try.