Ditto to the help side of things! Concerta has made a HUGE change for me! One thought for you, index... I started taking Tenex at night for problems with tics and I sleep wonderfully well! I don't know if that's an option or not, but it works great for me! When I first started the Concerta I was staying up until 3 or 4 a.m. and couldn't sleep, but now am finally starting to get balanced out!