This will be long and pretty convoluted...but here goes!
1. The Prozac was prescribed in the hospital. Prior to that he had no HUGE symptoms or blow-outs. diagnosis'd with anxiety, major depression, and a rule out of PTSD.(My DEX abused our son Jan 25th, hit him with a stick to get him to "behave". Prior to that we were just beginning the preliminaries for an ADHD diagnosis. 3 days after the beating my son flew out of control and was hospitalized. His behavior had never been suicidal or majorly out of control prior to this.) After hospitalization, we were referred to a Psychiatrist in our community (Hospital was fairly far away). The psychiatrist diagnosis'd ADHD, PTSD, concurred with the depression and anxiety diagnosis'd and added ODD with a rule out for Conduct Disorder. For the ADHD, he prescribed Adderal but one dose of that turned my son into a monster again, I decided to not try to get him accustomed to it and stopped after 1 dose. psychiatrist re-read my son's file and said a stimulant wasn't a good idea anyway due to VSD heart murmur and prescribed Strattera. The Strattera seems to have helped a lot with ADHD symptoms. He is 75% improved after a month on Strattera.
2. It is hard to say if since the medications things have gotten better, worse or stayed the same as his behavior was never horrible (just not typical for kids his age-still throwing "terrible two" fits at 6). His behavior is better than it was around the time of his hospitalizations but is far worse than it was prior to Jan 25.
2 a. He is seeing a psychiatrist every month. and is in therapy weekly.
3. I am not sure about the diagnosis. Absolutely ADHD (as I am) but ODD? I'm not sure. He is certainly oppositional and defiant but I am not certain it isn't bi-polar?? (No history of BiPolar (BP) in either family) Or have some obscure disorder "non-verbal processing or sensory disorder" This is all so new since January. Prior to that he was just a super emotional, inflexible child. His dad and I shared custody 50/50 and I suspect the bruises from the beating were just the physical evidence of a lot of abuse that went on. My son would always complain his dad was "mean". After the bruises, I got a restraining order and DEX hasn't had unsupervised visits since Jan. ((I should note the DEX thinks there is nothing wrong with our son that a good dose of discipline won't fix. I've been accused of "faking" my son's illness to gain sympathy in court. DEX and his girlfriend claim Matt had 0 problems or issues at their house even though there is documented issues at school starting over a year ago and also at my house. I'd ask them for help, could we get counseling, etc...and they'd just say he was "fine" and I needed to discipline more!))
4. No developmental or speech delays. In the hospital he got great tests done that would have taken the school far longer. His IQ is in the slightly above average range. However, he has always been significantly emotionally delayed. He truly behaves emotionally like a very young child. His dad and I separated when he was 3 (never married) and it is as if he's stuck there.
5. No sensory issues that jump out at you. He does often get upset though at other kids for talking at him too much. He learned in the hospital to say "I'm getting FRUSTRATED!!!" when peers overwhelm him. He seems super sensitive to kids being too close, not being quiet. He does much better with one fairly quiet peer (or a much younger child) vs a group of average 6-7 year old boys. He isn't bothered by clothing tags, temperature, textures, light or sound, though... He just seems out of sync with other kids his age. He doesn't "get" them very well and is often baffled that they didn't do as he wanted or didn't be quiet because he told them too. He will strike out physically if not helped with calming. The blaming thing on others definitely is an ODD thing...he is never wrong, it is always someone elses fault. "I hit Alex because he was mean to me!" Alex didn't want to ride scooters but wanted to play frisbee, not really mean but he was tackled and punched for not doing as he was told. (I wonder if all of this isn't just a ripple effect of child abuse??)
I'd welcome any help or ideas, suggestions. Thanks for the questions.
PS I just realized, I should probably anonymize our info and am going to change the kids' names on my signature.