I've been paying close attention to my difficult child lately, and I think one of his major downfalls is his impulsivity. I give him a bag of chips, and even when he knows that if he eats the entire thing, he'll be sick, he does it anyway, clogging the toilet and having to go to bed early. When he knows he is not allowed into my office, and the door is locked, he finds the keys, lets himself in, and downloads music. He is so totally focused on what he wants that he cannot think about the inevitable consequences. He cries and apologizes (it's easier for him to apologize about the little stuff than the big stuff, and only then, after rationalizing for 5 min.) and then he does it all over again. I feel like I should call it the "I can't help it" syndrome. I can't keep him in prison for the rest of his life. If I send him to a ranch out west, he is still who he is. Just because there are no electronics on a ranch in UT or WY doesn't mean he won't start over again once he gets home. Is there medication for this? Should I get a PET scan?