I, too am an educator, and I am very conservative when it comes to medicating kids.
I have a few concerns based on yr post. First, I havent heard of explosive behavior disorder. (in children) In adults, this type of thing would show up as an Axis II personality disorder. In children, particularly 4 (very young for this kind of diagnosis, ADD/ADHD as well - and I would hold off on the meds until a second or third opinion is obtained..cheaper than treatment I'm sure...) ALSO - (I have personal experience in this - my 5 yr old girl had wild tantrums, and I was very worried,, and took her to different drs...) What I learned was - Very often, when a child ONLY has these behaviors at home, and NOT in public, it indicates they ARE able to control their impulses, and behaviors, which would NOT make it a neurological problem. (like add/adhd/disorder of some sort) particularly so young, these diagnosis dont seem to make sense, without these behaviors significantly affecting them in ALL areas,not just at home.Some kids ARE more sensitive, and responsive to certain kinds of parenting, so what worked with my older, didnt with my younger. I have taken so many classes, and consider myself a "good mom" but still, I took some classes/talked with a family counselor on how to deal with it, and we set up a strict behavior mod. plan at home, and she improved dramatically. (and it didnt cost a lot..) (u r an educator - think behavior plan at school, but more strict and intense for home, cuz kids listen to us less, usually) This psych doesnt quite sound right on to me. NO. IT IS NOT too much to ask to have a clear plan and purpose/expectation for your child/and explicitly explain this to the child (in child term of course..) in therapy. Have you heard of ODD? This is something I hear of much more often professionally, and with very young kids. I would save the money, and immediately get a second or third opinion on this. I will repost with a website that may help...
I would get a second opinion for sure.
Also, you didnt report the symptoms/behaviors you are seeing. It just doesnt seem to add upwith this dr. from your post. Be cautious. An dmaybe put up some of the behaviors??
Also, it seems like if he cant verbalize goals/ect,doesnt give you a detailed FAMILY plan (because the behavior is happening only at home...) but willing to take yr money, adn "visit" AND is the one who diagnosed this "disorder" - this just sounds all fishy to me.
Start here: and please read the Dr's response carefully. ;-)
then for more info: