Leelo's fasting blood test came back negative, came back normal. So Risperdol isn't affecting his blood sugar or cholesterol levels to a problematic degree. That's good.
Still, the Risperdol isn't as effective as it used to be, with regards to self-control, aggression (self- and outward-directed), and maintaining a reasonable sleep cycle for his age. And his OCD-like behaviors (stomping, banging windows, doors; slamming toilet seats repetitively) remain on constant slow boil. Those are potentially manageable, behaviorally, with constant blocking and redirection so he doesn't get the reinforcing "high" of compulsion completion -- but the blocking and redirection not only require hypervigilance and proximity, but mean I'd be constantly pissing off a strong little boy who already deals with a hell of a lot more frustration than any kid should.
Supervisor M is going to talk about the OCD and meds possibility with Leelo's psychiatrist. We will discuss the matter at his team meeting on Wednesday.
I just want Leo to be happy in his skin, to have free and total access to the joy that sent him bounding across the field during Iz's recent soccer game* (the players were elsewhere; closing in on and stealthily throwing elbows near the goal). It wouldn't be worth the trade off to sedate him, or change his personality. But he's going to get bigger; the pounding and slamming is annoying now, but it could get destructive.
We will reach a decision in the next two weeks.
In the meantime, please send wishes for good health to Jennyalice, who is battling increasingly brutal pneumonia.
*Seymour is out of town at the opening of his brother's new restaurant (so exciting!); I think Leo's exuberance helped the other soccer parents figure out why I do not usually attend Iz's games.