We have taken in a child of one of our family members. He is 12 years old and has autism, ADHD and oppositional defiant disorder. Some progress has been made within the last year after starting ABA therapy but the same few behaviors are consistent. I will go through a normal day with him to give you examples but we are in extreme need of advise as there is no sign of imporvement for these behaviors. In the morning his alarm will go off, he will turn it off and go back to sleep. He will pee the bed because he is too tired to get up from bed. This happens about 3-4 day of the week. After he is woken up, on the days he does not pee the bed, the first thing he does is go to the bathroom. Some mornings it is problem free but recently he will stop at the doorway and decide to pee there. we let him know it is not okay to do that and start to clean it up. We do not allow him to clean it because he gets physically upset and takes it out on us. Then it is time to brush his teeth and get dressed. He is required to use a timer to brush his teeth, he will start the timer early if no one is around and sometimes just leave his electric toothbrush running or the water to make it seem like he is brushing. If you stand and watch him, it is more effective but still challening. He goes to school and comes home. At school he got introuble today for throwing an object at another childs head. when asked about the situation he said the child asked for the object and didnt catch it, which was deemed false by the teacher. it was purposful. When home from school he can have a snack within the first half hour of coming home, if he chooses not to he does not get one because dinner will be soon. an hour rolls around and he will ask for a snack and told no, there will be a temper tantrum. Explaining to him that his descisions are the reason for the outcomes does no good. When it is time for him to stop playing with something, he is given a clear time for it to be done. he will refuse to stop playing and when we inform him that he understood the rules, he will say we are lying and never said the rules. when it is bathtime he is required to gather his pajamas to get them in the bathroom. we will ask him hey buddy did you get your pajamas ready he will say yes. when we check the bathroom and they are not there we ask him where they are he will say he never told us they were in there and that we are lying. He cannot ever be help responsible for any of his actions because it is always an arguement saying that we are lying, which escaltes to sometimes him physically hitting us, walls or objects. When asked to complete task like can you throw this away? he will go and do 3 or 4 things he wants to do first and then maybe complete the task. If we redirect him he will scream at us that he knows and to leave him alone. when he screams he is instructed to go to his room, then he will hid in a corner and cry and say he is sorry and didnt mean it. When he finally gets to his room he will kick and punch everything in sight. there are multiple holes in the wall and broken furniture. After he has calmed down he will come out like nothing ever happened. Before going to bed he has to wash his hands and face after dinner. He will come out of the bathroom with his hands dripping wet, we will ask him to dry his hands and he will say he did hes not lying. We try to show him that if water is still dripping off they are still wet, but he will become too angry to explain anything to. This is just a few examples of everyday problems that if anyone can relate to or has any idea how to fix any of them it would be appreciated.