Our difficult child is 7. Current diagnosis is ADHD/ADD combined type with Mood Dis not otherwise specified. He takes Seroquel and Prozac and is in a therapeutic school program. Stimulants have never helped, only made things worse. He has always had some anxiety even though earlier doctors said he didn't. Last week difficult child was to go to an event and he looked forward to it all day. Throughout the day he could not sit still, could not occupy himself. Kept looking at the time and telling us exactly how long it would be until it was time to go. We know that with him we usually have to wait to tell him about places, things otherwise we go through this all the time, but in this instance he knew ahead of time. Asked him to calm down, provided alternatives, but nothing worked. The kid was crawling out of his skin with excitement. I'd never seen it so bad before. He even said he knew he couldn't calm down. As time drew near he has a meltdown in regards to dinner. He really lost it. Not physical, just a total emotional meltdown. Now we decided we weren't going to go because we didn't want to reward him for the behavior, but then this outing was a chance for him to meet up with a friend and he doesn't have any, so we relented and took him. We got there and he did fine and had a nice time, but once or twice I needed him to listen to me and he would get angry and just try to go on his way. He gets so scattered in a large group. His mind is on something and you can't get him to stray from it, or he has several things on his mind and can't make concrete decisions. Later, when we got home he gave us some trouble about getting into the shower and brushing his teeth. Things he was told ahead of time would need to be done. They were done eventually and uneventfully, but I guess I just don't see any gratitude from him. I would think that at his age now he should be able to show a little of that. (That he went to the outing inspite of the tantrum). It's just that he never seems to take others feelings into consideration. It's all about him all the time and it made me quite a bit mad honestly. Now I know he is only 7 and probably emotionally younger than that and maybe I am expecting too much? I guess I don't know really what I am asking. We have an appointment today with a new psychiatrist. I am wondering if it's time to try stims or clonodine again to see if we can't get the ADHD and impulsivity under control. difficult child has recently begun to get sticky fingers at school and is taking food at home without asking. He is never deprived anything, we just want him to ask and not just take. We've had to put a lock on one cabinet as he'll get up before us on the weekend and eat what he wants. He knows the appropriate choices for breakfast and has access to all of them, but of course he gets into other things. I think I know have to get a lock for the fridge now as he got into the ice cream Sunday am, UGH. We have also just received results from an austim consortium that we were part of. It didn't come with an official diagnosis, which was disappointing, but did point out that he does exhibit some tendencies (not great eye contact, very hard to have a back and forth converstion with for any length of time). He was tested independently for Asperger's and was found not to be on the spectrum then. Thanks for listening.