The Boy, 6, mainly has behavior difficulties (post-institutional, prenatal history unknown). He's not perfect at home or in public, but he's made huge progress and I can usually take him just about anywhere. School, however, is a completely different story. He turns into a completely PTSD, raging, screaming, defiant monster. However, I can walk into a room, and he can stop a tantrum on a dime. So, I really believe that these behaviors are manipulative (5.5 years of inconsistent expectations and extreme neglect). I do not want him on medication. At all. He was on Risperdal previously (a very high dose, actually, which we tried weaning down slowly to find a 'good' dosage), and it had zero impact...it was like giving him water. Because I think it is behavioral, I think that the school should be able to manage him. He's having an FBA completely FINALLY, and will have a behavior plan in place asap. On the other hand...I don't want him to be a complete disaster every single day at school. And if medication was a magic fix, I guess I would hop on that band wagon. Has anyone chosen medication for their kid just for the sake of alleviating at-school behaviors? I work in his elementary school and it is SO HARD to see him act like such a monster there when he's a pretty good kid at home.