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I agree with what was said... if the medications are not working then something is wrong.  We went through this for years.  Get another evaluation...maybe there is something wrong that has not been picked up on yet.  If a higher dosage of the medications do not work, or if they make things worse, than perhaps they are the wrong medications.  Do get a copy of the explosive child by Ross Greene...it helps.  I don't know where you live, but he also does evaluations for collaborative problem solving in the Boston area.  If you go to the website there is an email link and you get see if there are any Dr's trained in the CPS method in your area.  http://www.explosivechild.com/