I love the boy, I really do. I just can't figure out what to do with him. Recently diagnosed. Just got up to full dose of Metadate and ADHD issues are greatly resolved. Now that we've peeled back that layer, we are really seeing the ODD. Here's where we are at: Planning and organizing everything as best we can. Reminders with counting when he needs to do something but is resisting (pick up, get dressed, etc.). 3 = 5 minute time out in designated spot. Outbursts of an inappropriate manner (hit, kick, throw, swear) are immediate time out. When giving a time out, he is told why and that the time will start when he is in the spot. After time outs are served there is no further discussion unless he asks to talk about it. As the ADHD medication has become more effective, his defiance has grown. Before he might protest, but then go into the time out. Lately, he just grabs a book, or toy and goes to play. When he is reminded that he needs to take his time out, he challenges with, "like you're going to make me," or a similar statement. Then the real fun begins. Here's how it's gone the last few times: I walk to him and attempt to touch-ground him. I tell him that he needs to go to take his time out. He jerks away and runs. I walk after. He begins screaming. I take his arm and try to walk him to the time out spot. He starts thrashing. I carry him to the time out spot. He begins kicking, punching, or head-butting. I restrain him. He starts crying, but continues to try hitting or kicking. After 5-15 minutes, he relents. I release him. He does the time out. We go back to normal. I feel that somewhere I am missing something. It shouldn't be escalating this quickly. Any advice on how to stop the excalation while not allowing him the power of disobediance? Any recommended reading? I've watched the 1-2-3 Magic lectures and read Parenting with Love and Logic. I've adapted parts of both, but I can't see where either of these can help much more in his case.