9 year old son is out of control. HELP!!

[mkyork]

My son turned 9 in oct and has had behavior problems since he was 4. It started with him being kicked out of 4 day cares in 6 weeks. Since hes started school hes been suspended more times than I can count. He's been hospitalized several times. Right now he is currently taking Intuniv, Risperidone, Lamictal, and now Symbyax. He makes constant noises, destroys property, has assulated teachers, throws things, brings his 17 year old sister to tears any time that he can. He loves being with my husband and thats the only person he wants but he talks and treats him horribly. He's told our daughter that he wants to kill me and her and how he wants to. He has been in trouble for theft. Refuses to do work at home or school and punishment of any form doesnt affect him. He's impulsive, immature, and very willful. Right now we have been fighting this for 5 years and I love my son so much but we are running out of options and where we live we have limited help. It breaks my heart that he never seems happy even when we are doing something he likes. It's like its never enough for him. We have had to remove all the knives from our home because he was stabbing the walls and other things. We have tried so many different meds that I couldnt even begin to list them all. He's a beautiful bright child that has no learning problems execpt that he will not do his work. I am open to any suggestions.

[addicted2coffee]

It sounds like you need a second opinion. Is there a Children's Hospital with a psychiatric facility anywhere within a few hours drive? It might be worth it to admit him for a few weeks for a full evaluation and have them take him off all meds. If he has been incorrectly diagnosed, those medications could do him more harm than good. Maybe they could get a fresh start with him. It's got to be better than what's happening now.

[mkyork]

thats happened several times already and has been no help

[Kevin Kennedy, Ph.D.]

He requires acute care in an inpatient setting. When he is volatile at home the EMT's should be summoned and they would take him to the emergency room of the closest hospital. There he would be evaluated and authorization for inpatient hospitalization would be arranged.