When we got Alex's prescription renewed, the doctor suggested that we give him 5 mls per day on a regular basis and then 6 mls per day during times of stress and transition (holidays, big events, etc.) but not for more than 6 weeks at a time.
We began giving him 6 mls in late April, to balance out the schedule disruption caused by rehearsals and the school play, and then kept him on through the hectic days of birthday season. Now things have calmed down a bit and we're going back to 5 mls before increasing it again to manage the end of year transition.
It hasn't quite been a perfect success but if my memory isn't failing me, this has still been a better "high stress" period than we usually get. Alex has been having trouble with bolting and sneaking things again, but we haven't gotten the aggressive upswing we usually got with stressful times.
Perhaps that's because the behavioural work has finally managed to convince him that aggression is not a useful tool, or maybe the medication allows him to keep his temper better (or the most likely, a combination of both). Either way, that's an improvement.
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