I've been reading about violent rage behavior in ADHD kids, and that sometimes it can be caused by damage to the brain in pregnancy or early childhood. Since Carlos is adopted from Guatemala, I have no idea about these things. He has seen now five doctors, four of whom have leaned toward bipolar, without an official diagnosis because he's only six. We've been at this for 3 years. Seroquel has been a lifesaver for us in stopping the violent rages. It doesn't always help the hyperactivity, but I feel like I can deal with that okay since he's homeschooled and I can work with him more than a public school teacher could. He can definitely focus when he wants to. My question is this. Could he have an injury that is undiagnosed that makes it harder for him to control his emotions, and if this were the case, would that type of malady be helped by seroquel, or does the fact that seroquel helps rule that possibility out? I hope I'm being clear enough, I'm not sure how to articulate my question properly. I know the Seroquel works for him. We recently dropped the dosage and we regressed enough to confirm what we knew already. I guess I just hold out hope that he's going to grow out of this like a kid with ADHD might, or at least be able to learn strategies to live unmedicated. Am I dreaming? Does the fact that seroquel works for him confirm BiPolar (BP), or could it still be something else? I suppose I should just be satisfied that he's stable, but I don't want him on serious medications for years if there were other avenues I should be taking which could lead to a medication free adulthood for him.