Wanted to update. He had a video visit today with Behavioral Health. We all agreed that he should have a nephrology consult to rule out any underlying issues before we play with the meds too much. For now we’re taking the Concerta down to 36 from 54 to see if that helps (because if the afternoons it’s been really high…like stage 2 hypertension while he’s just sitting there). Assuming everything is physically good with them will adjust meds accordingly. Thanks for your imput.