Hi. I'm really sorry things are so tough for your family. I am another voice saying "it can get better" - and I think the way it does that is not just through the right medication but also by you and your husband becoming experts on how to deal with your different children... coming here is a good place to start. Reading, researching on the net, talking to other parents, you will begin to learn how to avoid the screaming matches and how to get your children more motivated to please. Positive reinforcement, as you probably know, works best with these children; it has to be a pretty thorough programme and more than just rewards. A vicious cycle sets in whereby, over years, the child's self-esteem and self-confidence has been eroded (through absolutely no-one's fault) and that makes the anxiety and the acting up much worse. As you've noted, screaming back is completely human but doesn't help.
Can you give an example of a typical day and how things go wrong?
