Ok...so, things were going rather well with M, as you all know, with the exception of the increasing irritability and building bottled anger, which we addressed with the psychiatrist and he advised us to increase the Tenex and said that we should see an immediate improvement. Fast forward to today, approx. 2 1/2 weeks after increasing the Tenex, and we've had 2 full blown violent rages and several other episodes/meltdowns of pure frustration, etc. Basically, we haven't seen the "immediate improvement" we were promised...if anything, it's worse. Anyway...my question is two-fold. 1) While there can be several triggers for his irritiablity, frustration, and inability to cope, the triggers for his violent rages have been about him not getting what he wants. Example...one was on vacation...his grandmother had bought him several Lego sets to keep him busy during the week and she had given him one of them that morning. After he completed it, he wanted another one of them. It was the expressed intention that he get ONE at at time/a day so that they would last throughout the week, as she had only bought a few sets. So, I stood the position that he had already gotten his one set for the day and offered him other alternatives to keep busy, and he immediately went into a violent rage, punching, kicking, pushing his head into me, etc. Today, he is not yet violent, but he has been crying, whining on the couch for almost an hour, and is on the verge of getting violent because he has already used up his daily allotment of video game time and he wants more time to be able to play with his friend when his friend comes over later. He knows how much time he gets each day and he chose to use it. So, my question is...am I wrong? Should I be rolling over and letting him have whatever he wants to avoid these rages without limits (the limits are set...I mean, it wouldn't be like a Basket C situation where I just didn't bring it up...these are set rules already and he's throwing a fit to get around them...and if I try to basket B it...well, we've never had luck with Basket B...he never upholds his end of the deal, if you Know what I mean?.). I just don't know how to handle this. I feel so tired and burnt out at this point. I feel like everything I have read and done has just gone to mush and I'm incapable of knowing what the correct thing to do is anymore, because nothing seems to work anymore. 2) Would you call the psychiatrist? should I consider 2 violent rages (he knows about the 1st one) and several episodes reason to call or just par for the course? M has an appointment on the 22nd (in 2 weeks). I don't feel like we're in "crisis" and I feel like we could survive the next 2 weeks, but I'm not sure if I should call since we didn't see this wonderful improvement he thought we'd see. Heck, maybe it's all my fault...I'm causing the rages/episodes by the way I'm handling it. Any advice you can offer would be appreciated.