So, now we have substance abuse issues to help difficult child deal with as well as more frequent rages. Fortunately, husband and I are getting better at not escalating difficult situations with our son since we know where that will go. We have had outside help all along and, also, an upcoming appointment for an evaluation for admission to a dual diagnosis program. Anyway, it is awful to see how destructive, threatening, and out of control difficult child becomes during these rages (not to mention, very scary). These rages started in the last couple of years and have slowly become more frequent. In between these rages, he has times where he is very cooperative and willing to seek help. I did a search of the forums regarding rages, read many posts to just get an idea what others deal with/possibilities for help, and found the information to be helpful. I will read more when I get some time. Thanks for listening.