My difficult child is nearly 17 now, has been diagnosed with ADD, Obsessive Compulsive Disorder (OCD), and Pervasive Developmental Disorder (PDD) -- with facets of Asperger's and/or Bipolar....they can't seem to decide on anything specific. We've been dealing with different aspects of all this for years, but the biggest and worst now is the rage that's been escalating over the last year or so. He sees a wonderful psychologist every week who has taught him every coping skill/anger management technique in the book, went through a gamut of medications with his psychiatrist, and just finished 5 weeks in a group therapy course that did absolutely nothing. He finished yesterday, and already he flew into rages because (last night) he couldn't have pizza, and (this morning) couldn't ride his bike until he'd done his chores. He literally has tantrums like a 3 year old....screaming, crying, kicking....but then goes into throwing chairs or whatever else is handy, screaming profanities, lashing out with whatever is around. He's recently been switched from Trileptal to Depakote and we're waiting for his bloodwork results to see what his levels are. But we're at a loss otherwise....what do you do for anger management when they WON'T use what they've learned? There's no consequence or reward that makes the slightest difference to him, nothing we can "hold over his head" so to speak to give us any leverage. It doesn't matter to him a bit what he'll gain or lose if he stops at that moment. We've mainly been told to call the police or 262-help, but boy, that's hard to do. We just don't know where to go from here Any suggestions?