Hi everyone! I've been lurking for a bit, but I'm a little flabbergasted and need your opinions. Our little guy is 3. He's been a real mover and shaker since he was in the womb. I'm the mom who never attended play dates because I knew I'd spend the whole time chasing after my son. His aggression started at around 16 months or so. I was always the target of his aggression. I've been bitten, scratch, hair pulled out, screamed at, slapped, punched. His trigger is not getting what he wants. He has his sites set on doing or not doing something. When there's an obstacle put in his path, he has a major meltdown. He has very little impulse control. He has low self regulation skills as well. He had an Occupational Therapist (OT) with an Early Intervention state program. Both the social worker and the Occupational Therapist (OT) could not pin point the cause of his aggression and said he had sensory issues. We've been working with a Ph.D doing parent child interaction therapy for about 5 months. It's helped some. That doctor still says she doesn't have a diagnosis for him. Maybe ADHD. Maybe a mood disorder. He doesn't show clear signs of either one. Our state runs a diagnostic preschool. He was in the classroom for 3.5 hours a day for 17 days. He was evaluated by a psychologist, social worker, speech therapist, classroom teacher and aid. In their findings they addressed all our concerns. Just like the doctor said, they said it might be ADHD or a mood disorder. However, he doesn't fit the mold for either one. Again, no diagnosis, but they found his behavior to be a developmental disability. Finally we got in with the pediatric neurologist. This doctor spent 15 minutes with us. He told us, "you won't be able to do this without medication" and said his working diagnosis was ADHD and maybe ODD. He gave us a list of medications he would try in order and wrote us a script for the first one. He order an EKG. My gut is telling me that the something more should have been done with the neurologist. On one had, he sees kids like my son all the time. On the other hand, so do the other professionals that we've seen and all of them have said they can't pin point what is going on with my son. Sure, he's treating the symptoms and not the diagnosis, but he didn't ask us a lot a questions like the others have. He saw him as an angry child. I tried to explain that he's not an angry child. The reason he was upset at the appointment was that he wanted to leave the exam room (we'd been in there for 30 minutes) and we were standing in his way of leaving. Everyone else who has evaluated him says that impulse control is his main problem, not anger. I'm not sure where to go from here. I tought that before medications, there would be blood tests done. My son has never even had a CBC. I thought maybe the neurologist would order some other kind of testing. The only thing he did in the office is test my son's reflexes and look in his ears and eyes. My thought (along with our other evaluators) was that we should do as much as we can before medications since he's only 3. Can someone play devils advocate? What am I missing?