My son is 4. He will turn 5 in September. I am very concerned because he is having major anger outbursts lately. He recently finished preschool and is now not attending for the summer. His schedule was very rigid before June. Now, he basically has no schedule. Anger outbursts include screaming, spitting, hitting objects, throwing things, and very recently, hitting people (including me). I would have called these outbursts tantrums before this summer. Now, they seem a little more intense than a tantrum. I'm wondering if the lack of schedule could possibly be affecting his mood/behavior. He typically has an outburs when something doesn't go his way; such as having to stop playing a game so he can come to eat supper, having to stop watching tv to go run errands, having to leave his friends when it's time to go home, etc. I have tried time outs, taking privileges, sending him to his room for an extended cool down time... none of these seem to be helping very much. I am concerned that he will be starting school in the fall. I do not want these behaviors to happen at school. Right now, he does not care where he is when he has an outburst: public places or at home. It does not bother him. I would really like some advice as to how to proceed. Is it time for me to seek a doctor's help?