The reason for BP being on the higher side could definitly be because long term steroid
and the CAH per se.Since how long is the child on Abilify
?.This drug can lead to abnormal rhythm and high heart rate
.Since the EKG was normal then probably thats not the reason.ADHD
medicine are Brain stimulator but they do have other side effects like on heart to increase the HR and hypertension
.So your neice is on such medications and her CAH per se have the potenital to cause HTN.So you need to discuss this with her Docter and maybe one could acheive some kind of titration in the medication so it causes less side effects.