Hi, I'm new here and I hope someone can help me. I have a thirteen year old boy, who has a diagnosis of...well...almost everything: ODD, Biploar, Asperger's, ADHD. The major problem I'm concerned with right now is that we also have a three year old, who is more and more frequently the target of the thirteen year old's temper... before, he would occasionally push him away or down if he got mad and the toddler was in the vicinity. But today, he actually put his hand in a "claw" position and smacked the three year old's face, digging his fingernails into his skin a little bit. Needless to say, I'm frankly not willing to allow this to happen to the three year old again - he is innocent and didn't ask to be born into this situation. I'm asking for advice from you all. How should I begin to deal with this situation? The thirteen year old is under a psychiatrist's care and on medication...has been hospitalized a couple of times, but not since he was nine or ten...before the toddler was born. We are scared to leave them in the same room alone for even a second. But even when we're in the room as well, we cannot always be fast enough to prevent this large child from striking. He also frequently targets his grandmother as well - today he punched her on her shoulder as hard as he could, causing tears and pain. We're all tired of this. We've tried to help him his whole life. And if my husband and I were the only victims of his violence, that might be manageable...but I cannot allow the three year old to be abused like this. I'm nearly ready to turn him over to the state. I mentioned the tendency to push/pinch the toddler to his PCP and his counselor before. The PCP thought he should be committed to a residential facility for awhile; the counselor was more hesitant. We've even had a counselor from such a facility come into our home before, three days a week for three months....to no avail. Anyone have any advice??