Today is Day 7 of Helana being off methylphenidate and I do not think we are going to put her back on it.  She was beginning to get very hollowed eye, but within a day of not taking the pills her eyes brightened up.  She's also regained her appetite and she has not complained of her belly hurting.  She also did really well at ST/OT today.  They are working with her on "ing" words.  She has the habit of just saying the verb, such as "I run" instead of running. Her attention is a little more off and her behavior slightly more hyper, but we think the benefits of not being on ritalin outweighs the alternative. One day at a time.  That's all we can do.