I am at my wits end with my son, he has to worst mouth I have ever heard on a child of his age. He does not swear yet, but scream at me at the top of his lungs, refuses to do anything I ask of him, he has been grounded from tv and outside with friends for a week, because each day just gets worse. He goes tomorrow for a re-evaluation because he has had outburst in school. He is currently on Adderal at first we tried the 5mg then went to Adderal Extended release, but it seems after the first 2 months it stops working. I work in a stressful environment and with home life being stressful also I am at my wits end. He is such a sweet sweet boy, this is seriously going to break me if I can not get it under control. We tried not putting him on any medications, but he was getting kicked off the bus, about to get suspended from school in kindergarten, to the point where he is manic on a daily basis. But I am pulling my hair out about in tears nightly because of his behaviors at home... What are some medications that worked well for your kids? Any other suggestions that can help with these manic nightly meltdowns?