Things have escalated with my grandson to the point where my daughter's long-time domestic partner and great guy said "Enough!" and moved out. And since he's never had kids and probably never will, he doesn't get the difficult child thing at all. My grandson was diagnosed with ADHD at five years of age when his impulsiveness, lack of focus, complete refusal to do anything anyone asks him too, explosive episodes, etc.got him kicked out of just about everywhere. I know that Pathological Demand Avoidance isn't a "thing" here in the U.S., but that fits him so closely. As he gets older, the rages have gotten far worse and I'm scared for him, for his sweet easy child sister...for all of us. We've worked through the whole Angry Child, Explosive Child, tested for IEP, and the only thing that really would fit of the 13 qualifying disabling conditions would be serious emotional disturbance, which they won't do. He's on a 504 in a small school. His social functioning at school isn't good. Is mostly by himself because the kids that have witnessed or have been the brunt of his rages from kinder to second grade and now the kids shy away from him. He knows why this is, and is lonely. He went though a play-based therapy group as a pre-schooler, has been in various social groups as a kinder at school. He's still on Concerta. We would like to take him off for a bit, but his father (with whom my daughter shares 50% custody) won't allow it because of the social ramifications. So he says. He married a woman that he only knew for less than a year with three children, three different fathers, and never married. They are now expecting a baby of their own any day. For all of that, the step siblings are nice enough, the step mother is horrible to my daughter, but good to the kids, I think. All the stepkids go to the same school. I don't think there's tons of drama, and all of this started long before in any case. So, we are now looking at talk therapy for him to hopefully help him gain some insight and tools to manage his rages and melt downs. Have any of you had any experience with this, or ideas to share? If you've made it this far, thank you.