Hi all! I am so relieved to re-find this forum since I actually posted here 4 years ago - http://www.conductdisorders.com/com...g-rigid-finger-positions.46455/#axzz4BzRU1yq1 - looking for advice about my son. He is now 8 and hasn't been fully evaluated in a few years, but his behaviors are seriously escalating we are trying to find a place to have him seen and we're looking for advice in the meantime. He has been diagnosed in the past with anxiety disorder, mood disorder and autism but all of these were around age 4 and 5. His first few years of school went extremely well, even though we still had meltdowns and behavior issues at home. This whole year has been a different story, getting much much worse after we sold our home and have had to stay in two short-term rentals while waiting to move into the house we bought (finally moving to the permanent house next month). His behaviors at home and school have been getting very bad, escalating to where we've almost taken him to the ER out of desperation multiple times. We think all the moving/transition has a lot to do with the escalation of his behaviors. He is not taking any medication, he gets school services like social work and sensory breaks, and he recently started seeing a psychologist. He acts like a typically developing kid probably 90 percent of the time - extremely sweet, curious, witty, has a variety of interests, plays sports, has friends and plays normally with them, normal speech and about average academics, etc. Maybe 9 percent of the time he is out of control - it usually starts when he has to go somewhere he doesn't want to go, or stop doing something he likes (mainly playing Minecraft or having screen time), or something minor like his brother says something that annoys him. He gets angry, irritable, destructive, even becoming aggressive, being unsafe (like walking out into a parking lot without looking when he's mad and trying to get away, etc.). He is almost not himself during these fits - he'll say extreme things like he'd rather die than do (whatever it is he doesn't want to do), or that we don't deserve to live, why do we abuse him, why can't he have loving parents, etc. He will never accept blame or responsibility for anything he did (like hitting or causing the conflict in the first place) - during or after the tantrum. We can get him to apologize after, usually, but if we press him too much or try to get him to explain or accept what he did wrong, the meltdown could even start over). But he will become totally sweet and happy once he calms down and then it's like nothing happened. We're also suddenly getting calls from school to pick him up early because he refuses to work or is threatening to leave, even pushing his teacher, etc. The other 1 percent of the time would be behaviors that seem just a little "off" - the hand-posturing I mentioned in my post 4 years ago is now gone, but he does still get in "baby mode" sometimes/rarely - like in social situations where he doesn't know how to act or when he's super excited/happy to see a parent or relative, he just gets a little immature/babyish in a way that I don't see other kids doing. I'm wondering if anyone can relate to these behaviors? Does it sound like childhood bipolar? Any advice on how to handle the meltdowns during them or tips to end them quicker? The psychologist says to NOT try to reason with him, but with some of this violent speech I feel like I have to try. Has anyone had success dealing with these sort of extreme/aggressive behaviors without medication? Thanks so much for any advice!