After discussing at length, with Dr. Pattie about our concerns that there might be more going on than we are currently aware of with Elliott, a course of action has been decided.   We went through this enormous checklist of what Bipolar Disorder looks like in kids and while he didn't meet every single item, he met more than he missed.  Again, this doesn't mean anything for sure but it does raise more concern that this could be what we're looking at.   The plan at this point is to have him evaluated at the end of August, when he has a followup appointment with Dr.Reynolds, his psychiatrist. It's been about 10 years since we've been through this process with Gavin, so I'm unsure of what to expect this time…