I'm new to this site and have never tried a support group type thing. I'm really at my wits end. When my difficult child's mood swings into the mean version of him he explodes, argues over everything, hits things, etc. What frustrates me most is when he refuses to follow any direction. He won't even go into his room to cool off because we tell him to. On top of this he's left the house after being told not to several times. Tonight we had another big blow up. He wouldn't follow any direction and snuck out of the house. I don't know what to do with him. I can't make him do any of the things he refuses to do. He has 9 inches and almost 100 lbs on me. His dad can physically remove him, but that would likely turn into a major physical fight. In these situations he has complete power and he knows it. We've had limited success with anything we've tried. The good behavior allowance worked the best but was far from perfect. He also used the money he got from us to start smoking. So we have that issue to deal with as well. He's on medications and they help to some extent. His moods have been so bad lately that the doctor is upping his dose. He wouldn't cooperate in therapy and now refuses to go at all. I can't get him into the car. I'm just feeling really beaten down. The stress is taking it's toll on everyone, including his little brother. He was so upset by tonights episode that he had an asthma attack. Does anyone have any advice?