Risperdal, ugh, it seems like this is the go to medication for kids on the spectrum. Always suggested by the psychiatrists the moment I give any clue that there are outbursts. Aren't outbursts just kind of one of those things that go hand in hand with autism? Can you guys talk with me about if you feel there is a difference in types of aggression and if medications are warranted in any case? For instance, my difficult child has 'temper tantrums'/rages when he is frustrated. He seriously has the mind of toddler in those moments. He will rip paper, throw things, stomp up and down, cry, talk to himself (yell to himself) about the injustice of it all. In the midst of all this a toy could hit someone, or someone might get pushed out of the way or the cat might get pushed-not that he's seeking these things out, they are just in the way as he's going up to his room (or are foolish enough to enter his room while he's tantrumming. Now, maybe this is denial or distorted thinking on my part, but I see the previous description of 'aggression' as really more of a result of frustration, not intentional harming. The psychiatrists don't ask to me to differentiate or in what situations 'aggression' occurs. I don't want to medicate him when what I really think is he needs plently of work on dealing with his emotions and finding ways to calm down instead of raging/tantrumming. Do you see a difference between intentional aggression ("I hate you and I'm going to hurt you") vs. incidental aggression (I'm having a fit and I'm throwing things whether you're here or not)?