I don't know what's worse, over-diagnosis or the opposite. James was a victim of a crime of neglect, left in 17 homes in 18 years by a mother who pursued her own wealth and education. He suffered from serious bipolar disorder, which he inherited from his maternal grandmother and which was present at birth. He was locked in the basement at daycare, alone with spiders, because the teacher couldn't control him, and has had a life-long fear of them. He was thrown out of school at age 10 and called evil. He was left at school alone until 6:00 pm because his mother was having an affair, and remembers everyone else being picked up at noon. He swore after that never to remember her birthday. He was violent. If anyone had been able to diagnose him and help him, a life of misery would have been avoided. I think the side effects of anti-psychotic medications as serious as depakote have to be studied more in children. Also, I'm not sure if studies have been done on people taking depakote and lithium their whole lives. It's a constant battle. I know we are dealing with it -- between what the medicine controls, which in James is a rage disorder and delusions -- and what the side-effect price is. If parents suspect their child has bipolar disorder, the right diagnosis and medical treatment could save their lives, so mistakes as tragic as a kid dying from an overdose only tells me how much more work we as a society have to do to deal with mood disorders in children.