Hello all, I'm new here. So obviously that means I'm stressed out, feeling helpless, and really confused what is going on with my child. I figured at least a few of the codes out so here goes. difficult child is a super smart just turned 6yo. He was the most alert baby I had ever seen (he was actually looking around the room intently within an hour of birth. From the beginning he was clearly demanding but also could be very charming and cute as a bug. His growth was always off the charts and his development was way ahead. As his speech developed it was obvious he was a sponge who could remember almost anything and loved to learn. But the more he talked the more it was clear his social skills were nil. Eye contact seemed physically painful at times, self-injury, high pain tolerance, zero interest in participating with others, a dashing smile that would come out of nowhere, and so much energy he could bring an adult to tears in under 30 mins (so people always gush how wonderful he is until they have to be near him for more than a few minutes). He always talked at people and never with. At 4.5 yo he was finally diagnosed Pervasive Developmental Disorder (PDD)-not otherwise specified. After over a year and a half of social skills class, speech, countless visits with the pedi, neurologist, psychologist, IEP with-aide in school, and medications started last summer we seem to be not much better than we were when he was first diagnosed. The pedi tried a test of Zoloft in the summer and fall and it did not help at all. Then finally he said we should try medications to treat ADHD in January. DS responded really well and his behavior was so much better. We have been trying to tweak things a bit to find the right medication and right dosage but the pedi is not willing to go further (as in no non-ADHD medications). We now have to move onto a psychiatrist. DS seems to cycle. He will have a couple of good weeks and then he acts like a 15 yo girl with-severe PMS. This last week was terrible and almost as bad as before he started medications. He got mad at his teacher because she reminded him to keep his hands off the walls while walking in the hallway and decided that he would intentionally misbehave to "get the scared out". He also seemed to decide that since he was being a pill at school and losing his star he may as well butt heads with everyone in the family and his social skills teachers. I'm at my wits end. Does anyone have a child that was diagnosed on the spectrum and then had the diagnosis changed to ADHD/ODD or had it added to the diagnosis? Up to this point my husband has been very resistant to the diagnosis. He admits DS has issues but did not feel AS or Asperger's was correct. But this weekend I was looking up ODD and husband agreed that our son fits almost every single trait. And the ODD traits along with unending energy and ability to deliver them is what is bringing our family to it's knees. I'm not even exactly sure how to go into his appointment and say he was diagnosed Pervasive Developmental Disorder (PDD) but I think it is either wrong or the least of his problems. Any advice, info, or strong drink recipes are greatly appreciated.