I have a 6 year old son who has completely turned into someone we do not recognize. He started 1st grade in Aug which started our downward spiral. Last year he only had 1/2 day kindergarten and while he had a couple issues they were manageable and after a month or so he settled in. The ONLY thing that changed right when we started having problems was starting first grade. The 2nd day of school we got the first phone call with concerns from his teacher. He was constantly talking out of turn and running around the room. 2 more phone calls and they now wanted to meets with me and husband about their concerns as things kept getting progressively worse. So we met with his teacher, the guidance counselor and principal where we found out that after the guidance counselor obseving his class she noted she counted he talked out of turn without raising his hand 14 times in one hour. Plus he would run around the room, throw things, not sit down to do his work,not follow directions and none of the kids wanted to play with him. This is after last and at preschool he had a ton of friends. They recommended we get him evaluated by a psychiatrist to see what we could do to help him. We agreed and set up an appointment which the earliest one we could get was 6 weeks away. The school began the IEP process. After awhile he got worse and was suspended twice from school. First time was for telling his class and teacher he wanted to drop a bomb on them. Soon after first suspension he had his appointment with psychiatrist and was diagnosis ADHD, ODD and anxiety disorder. She wanted to start medications but woukdn't without cardiac clearance with his heart murmur. 2nd suspension was for making a stabbing motion with a pencil at a classmate and saying he wanted him dead. The school kept pushing us to admit him to psychiatric hospital and we took him to one to get them off our backs and the dr said they overreacted and sent us home. (took him there before we had 1st appointment with psychiatrist. They pushed again to take him to a different one but we refused telling them we had now seen 2 doctors who did not feel it was necessary at that tine abd the separation from us would not help. They pushed again and this time we agreed to an acute partial hospitalization program. He was only there for 6 days during school hours and our insurance would not cover any longer. psychiatric dr there observed him in class and agree he is ADHD and possible ODD. The days he was there he never said any of those things and never drew any pictures we then started to think the school is certainly ovvereacting and something they are doing is making things worse. We were unable to start medications while at this program because we were still trying to get clearance it with his heart murmur. He had been coming home from school every day so sad and down on himself for getting in trouble at school so much. At the acute partial program he came home happy. We started to wonder about the school even more. They has a para educator with him 2 days and did better but they stopped it because they did not have the resources for one every day. First day without one is when he got suspended the 2nd time. They were still evaluating for his IEP but when he came back after suspension #2 and from the acute partial program they agreed to have a para educator every day. Follow up appointment with dr we finally started Vyvanse 20 mg. First day, huge change for the better! He could focus, sit in his seat, not talk out and not be mean to the other kids. He then started making friends. He says he can now concentrate and calm his brain now and listen. Well, 2 weeks into the medication it started to get harder for him to take it. He does not swallow pills so we open the capsule, our powder into drink. He started complaining it tastes bad, he does not need it. The last 5 days were h@ll to get him to take it. We tried different foods and liquids. He has been nasty and insulting to us while trying to get him to take it. He says horrible thibgs to me and taunghts me. 3, 4 and even 5 hours it took to get it in him and sometimes not all if it all the while insulting me. Once he has enough Ned in his system he realizes how he acted and gets really upset. He knows he needs it and will tell you that on the medication but before he gets it he does not feel that way.so I have to battle with the before medication child to get to the child whip us appreciative of the medication. It is like a losing battle. He goes back to school in the am from thanksgiving break and I am dreading getting him to takrpe it.I am trying hard to have a thick skin but it is hard. His counselor that works with psychiatric dr is going to see him first thing in the am at school to talk with him.I know there is a patch to use but our insurance wo t cover it. We have tried to train him to swallow the pills by putting sugar inside the empty capsules but after trying 2 times he us afraid he will chock on it. I am at a loss on what to do about his medication. We have tried everything and nothing works.I do not even know if punishment is appropriate since when medicated he gets it and it would nit be fair for him to be punished then. Our insurance right now will not pay for neuro psychiatric and we cannot pay for it. I have been reading these boards for 2 months and decided it is time to jump in and began active member. Does anyone have any ideas on how to handle this??? Thanks for reading as I know this is long.