Conduct Disorder Support Group

What kind of meds. is he on? You might consider getting information on attachment disorder or oppositional defiance disorder. Another thought is Asperger's Syndrome. Any of these conditions can be accessed easily through a simple web search. You should be able to find characteristics of each and treatment (in addition to medication which, as you wrote, isn't the ONLY thing).

You definitely have a challenge on your hands and I can very much relate! I've been dealing with similar behaviors for 14 years. Progress has been made, yes, and like you said, some days he is absolutely an angel. Still, the days when the angel disappears can be pretty stressful. I know how you feel and understand your concern for him, your worry, as well as your frustration. Oh, how I can relate.

I may be new to this community, but I am not new at all to the behaviors you describe. I've dealt with all of them and many more.

Hope if nothing else, you now realize that you are not alone.

I took my son at 2 and a half to the psycologist for evaluation. Thier goal is not medication but will tell you if they think you should seek medication. We tried medication with my son because he was self abusive and abusive to others. He was later diagnosed as Severe ADHD combined and then at 13 with Conduct Disorder. The pediatric neropsycologist said they dont like to diagnose conduct disorder until the child is older and even at 13 she was hesitant except his problems were extream.

The most important thing is to be an advocate for your child. People will tell you children will be children but your his mom and you know him better then anyone. If he just seems beyond the reaches of the 'typical' 4 year old then I would ask for an evaluation. Medications are an option for you that only you can decide if they are right. I decided they were right when my son entered the school age prior to that we did a lot of therapy and behavior coaching. Message me if you want to talk more I am more then willing to share my experiances with you. By the way I have a 2 yr old daughter I am now going throught the same process with except she isnt self abusive. She shows the female signs of ADHD

My step son is almost 14 and he acts that way everyday. His trigger is anything that he doesn't want to do. Which is everything. He only wants to steal and destroy property. When you ask him why he used to say "I don't know" to everything, now it is "It makes me feel good." I feel for you. My step son still screams exactly the way you are describing when he doesn't get his way, only now he tries to physically push me and bully me.Calls me the devil.There is nothing I can do or I will go to jail. He thinks he runs the house, and when you stand up to him and let him know that is not correct, that is when the trouble starts.It has been my experience that he acts like an angel to our face only long enough for us to let our guard down for the next blow.Then come to find out,he was raising hell behind our backs the whole time he was smiling 3 inches in front of our face. I sincerely hope that your experience is totally the opposite from mine.