New: my son has figured out how to run away! He climbed out his bedroom window onto the roof and jumped down to the ground at 6:45 this a.m. I managed to spot him in the neighbor's yard because his twin told me about it. This is the second time he's done this. What do I do about that? Second question: How do I make him accountable for all the things he breaks during his rages? The other twin is also a difficulty, but more manageable...as of right now anyway! Hi All, I'm new... I am a single mom with identical twin boys....almost 8. They were adopted from Russia when they were 2 weeks shy of 4. They spent virtually their whole toddler-hood in an orphanage. They were both diagnosed with ADHD at the age of 5 1/2 and have been on a wide vairety of medications ever since. None of which seem to work for long. They both have some learning issues and speech, pt, Occupational Therapist (OT) issues as well. Though they are moderately well behaved in school and have always been very well mannered to other adults, home has always been HELL! More and more recently, one of my guys has been prone to violent rages when he doesn't get his way. He can be violent, dangerous and hurtful to me, his twin and even the dog. He's also attembpted to run away. His attitutde has also become very disrepectful at most times and both are beginning to show some behavioral issues in school and public. Both boys are medicated and in counseling. I've initiated the process for psychiatric evaluation but a neuro psychologiacal is not covered by insurance and I can't afford the $3000-$4000 pricetag at this time. My other guy struggles more in school and hurts himself when he gets frustrated. He cries a lot too. I feel that they are both very immature. Neither one is responsive to time out, though one will still do it...the other one has to be physically pinned down until he calms. I'm not going to be able to do that for much longer. One of the boys, though tough, is manageable and the other is often beyond my control. The weird thing, is that 6 months ago, they were opposite. The now unmanagable one, was the calmer one. As twins, they seem to switch personalities and functional abilities quite often. I've had them genetically tested; fragile x, Fetal Alcohol Syndrome (FAS),etc. and all came back normal. I do know their ibirth parents lived an "unhealthy" life style. I don't really know where to go from here and am very fearful about how and what they will grow up to be. I joke that I'm saving for college tuition or bail!!! Lately, I'm leaning toward the latter. Thoughts???