My 2nd son has some severe impulse control issues and I do not know what is causing it, or how to help. He has never been abused, never been exposed to drugs, alcohol, or any other addictive substances. I have 4 children and I am pregnant with our 5th. He is the kind of child who needs constant supervision because he does not think about the things he does beforehand, but he does express sincere remorse afterwards. Unfortunately, I cannot follow him around and watch him every second, there are times when he is out of my supervision because I'm changing diapers, making a meal, going to the bathroom, etc. Just in the last two days he has dumped out a half gallon of milk all over the carport, sprayed an entire bottle of air freshener outside, dumped cinnamon all over the bathroom, and gotten all of the creams out of the bathroom and smeared them all over himself. When I catch him doing these things he almost always says the same thing, "I'm sorry Mama, it was an accident." I tell him no, an accident is when you didn't want to do it. Then he changes and says he wasn't thinking, and he didn't mean to make the mess. His impulse issues began when he was 18 mos. He started coloring all over the walls, tearing books, etc. I thought we were just getting out of this stage. He hasn't done anything destructive/messy in a few weeks, until yesterday. What can I do? I am at a loss here. Pease help!