Hello all, My step-son is 14 years old and has 3 doctors. Though he has not been diagnosed with anything, the doctors are leaning to bipolar. If he does not get something he wants, he goes into a tantrum. It may be a cookie or money, but whatever he can not have drives him into a rage. Over the past two years, I have repaired 27 foot sized holes in the walls. About 4 months ago he molested his mom in her sleep, now his younger brother sleeps on an air mattress at the foot of our bed. He has threatened to murder me in my sleep 3 times now, and the other day he spit directly on my face. Tonight (after a short tantrum) he stood at the top of the stairs so that I could not get past him, when I told him to move he suggested I "make him". When I gently moved one of his arms so that I could get by, he threw himself into the wall and started cussing me out for "hitting him". Then he went into the bathroom (leaving the door open) and urinated all over the walls and floor, and shook his genitals in my direction. Usually one of his tantrums end with his mom pulling him up the stairs for bed and him screaming and kicking holes in the walls, but her back and hips are in bad shape and she was in to much pain to deal with it tonight. He has been seeing his doctors for over 7 years and has no diagnosis. He is incredibly manipulative, and can be calm when he wants. He chooses and plans out his tantrums, he even threatens us with them and tells us how they will end before he has one sometimes. Most nights I stay awake until 3 or 4 am to make sure he does not hurt anyone. For the past month I have had really horrible nightmares about him doing unbelievable things to the family, and I do not know what to do. He is currently taking the max dose of Abilify, and it has never worked. Anyone out there that can help? I have tried everything and it is at the point where I am terrified to go to sleep because of the nightmares, and waking up just means another day of potential tantrums. Thanks.