I am feeling at the end of my rope with this! A little backstory: He was on Ritalin to start but getting him to take pills was a no-go. So they switched him to Vyvanse, 20mg, once a day. This did okay for him at school but by the time he came home he was out of control until bedtime. Pediatrician upped it to 30mg and told us we could split the powder in half. This wasn't a great solution but it was okay and my son had no idea he was taking it cuz I'd mix it with a bit of milk. The psychiatric doctor put him on Adderall-XR 5mg, 2-3 times per day. The problem is that Adderrall has a bunch of little tiny beads in the capsule. My son won't take pills so we have to mix the medicine. He actually did okay on this medicine, only slight better than Vyvanse, but the problem is the beads cause a tactile (I'm assuming) sensitivity with him and he will not ingest them. Not in drink or yogurt or even in candy (we've been getting creative!). Got my new script and every pharmacy in my area has it on back-order. So, they psychiatric doctor decided we'd do Vyvanse at 30mg, once a day. I've had some old Vyvanse 30mg that we've been using since the Adderall shortage. It's still not the right medication and they won't give me anything else to try because it's either pill for or he's too young (he's 4). So, back to Vyvanse. Only now, since he knows we were trying to trick him with the Adderall, he refuses ANYTHING we could mix it in. Milk - dumps it. No candy. No yogurt. So we have to mix it with milk, put it into a medicine syringe and pin him down and give it to him. I HATE doing this. It seems so barbaric and just not right. However, if he doesn't have the medicine, he's violent and absolutely out of control. And I don't mean he's up and running around. That doesn't bother me a bit. Our house is kid-proofed, he can run around like a little monkey as long as he's not doing anything dangerous (which he usually doesn't do. He's not fearless.). He bites, hits, spits, throws toys at people, destroys EVERYTHING - he's just so completely out of control without it. I don't know what to do. Am I the only one with these issues? Please please give me some suggestions to try to get him to take the medication! Even though it's not the right medication (it really isn't but nobody wants to give him anything else, it seems, because he's so little.), at least this medicine does help a little. When it's in his system he's not violent. Still usually destructive and very active but not violent. He has some sensory issues and is an EXTREMELY picky eater. He generally lives on chips, yogurt, crackers, milk and peanut butter (I give him PediaSure to supplement). And if he sees any sort of powder (Vyvanse is a white powder) on anything he will refuse it. I'm getting ready to go to my first Autism support group. I'm hoping they can offer some suggestions as well but I know you guys are a wealth of information! Mostly, I just want to know that it gets better. The psychiatric doctor says they can't do anything for him until he's older but we've been dealing with this for 2.5 years - how much longer can we keep going like this? Of course we'll keep going but man, some days I just feel so defeated.