Hello! My kids are on Tenncare (which decided a few months ago to stop paying for Concerta.) My kids are both gifted children academically, and when they were on Concerta, it was as nice at home as it was at school. No complaints whatsoever. Since Tenncare removed the kids from Concerta all of our lives have been turned upside down. First it was Focalin, and then others. Nothing seemed to work. Then the doctor put them on Adderall XR. At first it seemed that it was going to work. But after more time on Adderall both kids started displaying erratic and oftentimes severely swinging behavior. My son (who is generally a sweet, happy, helpful boy) spends most evenings at home screaming at his brother and sister, telling me how much he hates me, he has begun chewing his nails to the point of bleeding (he never chewed his nails before) he has also started pulling on his front teeth. Like I said, he never displayed any of these behaviors before taking Adderall. My daughter who was consistently on the Honor Roll is now getting Ds and Fs. (Thanks again Adderall.) She is also very moody and withdrawn. (Before adderall she was a sweet and bubbly girl.) I called the Doctor today asking if there is any known way to get them back on Concerta. Tenncare's confusing ruling to not pay for Concerta has turned our home into a chaotic mess. I also have a co-worker who's son acted like a completely over emotional basket case the second he was put on Adderall. She took him off of it when she watched her little boy acting like a lunatic. I know I've had it completely with this mess. What you are seeing in your son is what I have already seen in my own children.