I am at a loss for our son. We have him in therapy and it does not seem to help. What do you do with a child who takes no responsibility for actions, no self control, doesn't follow rules (home or otherwise), makes people mad on purpose, doesn't follow through with instructions for chores, ignores requests, cannot make friends because he annoys them, desires friendships but has none because they can't stand his behaviors, is rigid in thinking, argues everything, will not follow through with instruction,and this year he got so fixated on a disagreement over a violation of his religious rights that when she wouldn't budge he burnt himself, then they call children services to investigate. We have other children and we are afraid his choices or whatever is going on with him is putting our family at risk and himself. If you compliment any progress he will sabatoge it. We have done rewards, consequences, contracts, charts, grounding,severe discipline times, light discipline times and he is on Concerta and zoloft. It is like he needs the supervison of a toddler. This is overwhelming and exhausting on our family. He can be fun but will ruin it by starting arguments or getting handsy with people or name call. He takes everything personally. Therapy does not seem to be working. What can we do?