Hello battle-weary parents, My 10yo son has always been "different," "passionate" and "more intense"; maybe four years ago we had him do testing and was diagnosed with ADHD, and has picked up Generalized Anxiety Disorder (GAD), Depressive Disorder and my favorite, Mood Disorder not otherwise specified, which I suspect covers the oppositionality, aggression and overwhelming negativity that has characterised him for a long time now. In 5th grade he's having a more successful year academically, but he no longer makes an effort to spend time with friends, would play computer games during all his waking hours if we let him, and is at his best touchy and relentlessly negative (I use more concise terms when talking in private to my husband). At his worst he's aggressive and abusive; today he threw a gallon jug of wiper fluid at my head while I was trying to take him to his therapist. It was mostly empty although his aim is good. My son and his 6yo sister live with my husband and me in a warm, secure, loving, financially stable and good-humored household. His sister is a relatively easygoing kid, who undoubtedly gets the short end of the stick, loves memorizing facts about animals and admiring their cuteness, and is as pleasant of a companion as you could want. She's willful too, to be clear, and stands up for herself well, and occasionally gets sent to her room, like any regular human kiddo. But I worry deeply about her wellbeing in a household where another kid requires a bottomless supply of energy and second chances. My husband and I both work full time at rewarding careers with decent benefits. We have friends. We have a small house in a nice place with good schools and a diverse, interesting group of neighbors. We have a lot of resources and a lot going for us, but none of this can make our son happy, or capable of enjoying his life. Tonight his therapist told us he's at a crossroads -- that if our son were a few years older, he'd be arrested for his behavior. He threatens self-harm and we nearly took him to the ER tonight. I left work early to take him to his appointment, thinking I'd be able to get work done, and now I'm trying (and obviously failing) to get it done this evening. Not looking for anything specific, really. I have no lack of well-meaning advice AS YOU CAN IMAGINE and am trying to keep all the plates spinning. So, hi.