Child is 5 years old. He is very angry, combatitive, possibly dealing with multiple personalities vs extremely over-active immagination with what seems to be "friends" controlling him, including harming himself and others at an early age. Dx of Mood D/O, NOS; PDD NOS and ODD. with attention deficits. Behavior modification techniques no longer seem as effective. Psychiatrist has him on 4 psychotropic medications and has to adjust them every few weeks because meds seem to be losing their effectiveness. I am wondering if hyperthyroidism may be an influence. He is preoccupied/obsessed with eating but is burning it off quickly. Riperdol is only fueling the need to eat.
Suggestions????????