Try putting him in kung fu or karate. The better programs teach mental and physical discipline. Lots of positive encouragement when he behaves properly and when he does not, do not make it about him, but on the behavior. For example, do not say "you" when scolding him or showing displeasure. Show no emotion and simply say, "you are a great kid, however, your behavior today was unacceptable... He needs to burn off energy in a positive way and he needs to build up his self esteem. Only you and your wife can do this in a lasting and effective way. I don't have answers about the meds, sometimes they and other times they make it worse. Good Luck
Dear Erik,
Your son displays some condition alongside the ADHD. It is likely one of the other Disruptive Behavior Disorders or a Mood Disorder. Be sure to ask your son's clinician what the diagnoses are.
More importantly, you are in need of a systematic way to manage your son's behavior - i.e., clearly delineated rules/expectations and established incentives for adhering to them and punishments for violating them. Generally, child clinicians are prepared to help parents develp such plans. Make such a request of your son's psychologist.
Relative to the Trazodone, I'd ask the prescriber what target symptoms the medication is supposed to address. Trazodone is an antidepressant, though it is not commonly prescribed for children. Gnerally, children who are being treated for a depressive or anxiety disorder are prescribed one of a group of antidepressants called selective serotonin reuptake inhibitors. Prozac, Zoloft and Paxil are examples of such medicines. Again, ask the prescriber about this.