My youngest difficult child has resorted to hitting again lately. He use to do this before medications and I believe stopped (maybe the boys just weren't telling me), but now hes doing it again. I wanted him to wear out yesterday so he would sleep so I had him run around the back yard some. Silly I know, but I don't know what else to do. The sleep medications just aren't working and he's beating up on his brothers at night if hes awake. I'm worried the neighbors think I'm abusive because I'm having him run around, but I am clueless. If he doesn't get this energy out and the sleep medications aren't working, he spends the night hitting and jumping on his older two brothers. Today they're at camp, but his little sister is home and I'm afraid to let him out of my site. I just have him go from room to room with me so I know she's safe. I can't trust him to let him go play out of my site and I'm exhausted from playing referree all night. We're hoping to get him into the neuropsychologist soon. The psychiatrist just keeps upping doses on medications. This kid is too small to be this medicated and the medications don't seem to help anyways. I don't want to take him out anywhere because he's so aggressive and typically sneaky when he hurts someone. He'll do something in the 2 seconds I turn my head to count for my other kids at the park. He also tends to play on other people with his size (he looks 4-5) so if he does something in public and you reprimand (verbally not physically) he will cry really loud like you just hit him. What do I do?