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@Lollypopgirl17 You've received some excellent advice here, but I'd second the suggestion that a child psychiatrist is the best option here. It can be difficult to get access to these specialized services, but they will be the best positioned to provide a comprehensive assessment. As @Copabanana...

@Copabanana As always, I find your posts deeply insightful and I just wanted to chime in to say that I fully agree with the advice you've provided. Of course, I say this from the other side of the equation, as someone formerly diagnosed with ODD who needs ongoing treatment to remain healthy. The...

@MandaC This is an incredibly difficult situation which is very hard to deal with. On some level, I believe there is little you can do. Your son is an adult and is ultimately responsible to making his own decisions. You can encourage him to seek treatment and support the process, but you...

@MandaC I think the advice and guidance you have received from both @Deni D and @laugh is superb. In particular, this analysis is very interesting. However, one thing that I think must be emphasized is regardless of the background, his behaviour is certainly consistent with some untreated...

@Nandina Thanks for sharing. It seems Trileptal is more common that I was aware of for aggression and anger. I am very sorry to hear that your son stopped his medications. It is extremely challenging because as a parent, there is little you can do in this situation. Unfortunately I think this...

@Deni D Agreed - it's always interesting to find publicly available case studies presented in a manner which can be easily understood by those outside of the medical community. As you say, everyone is able to understand the behaviors and how they are impacted by the medication, but the research...

Hello all, in case it is of interest to any parents, I wanted to share an interesting case study I came across - Intermittent Explosive Disorder in an Adolescent Treated... : Journal of Psychiatry Spectrum Here a teen with severe conduct issues, formally diagnosed with Intermittent Explosive Disorder (IED) was treated with...

@Nomad Was your daugther ever able to find a suitable replacement for the Abilify? I have not faced this issue, but unfortunately weight gain is a common side effect and was something I was warned about. It's certainly a very helpful medication for me and one of the most important components of...

@dandelion It sounds like you've really done the best you possibly can for you son and you should not fault yourself for his challenges. Likewise, since you don't have contact with your grandchild, there is only so much you can do. As others have mentioned, it is important that you take care of...

@dandelion - Thank you for sharing your story. You have come to a good place - the people here are very kind and understanding and can relate to your situation with empathy and helpful thoughts. I wanted to chime in with a couple of comments, but from a slightly different angle. I was diagnosed...

@WorriedGrandma Thanks so much for taking the time to provide this update. It does sound like things are trending in the right direction. It is very good to hear he is being properly treated and taking medications to manage the outbursts - this is very important. His parents do sound like they...

@WorriedGrandma Do you have an update? I have been wondering about your situation.

Dear @Copabanana - I always find your words extremely prescient and reading this I just wanted to say that while it can be hard to hear for parents, based on my own experiences this is completely accurate.

Dear @WorriedGrandma - Thanks for sharing. It's good to hear that he is seeing someone experienced treating children with similar issues. There are many psychiatrists who are not well versed in managing complex cases in children and finding a good specialist can make a huge difference in...

@Crayola13 - I think you are exactly right here and this is consistent with my experience. I've tried Seroquel and it is remarkably effective for aggression and anger management, particularly when paired with my Prozac. However, the side effects were pretty much unbearable for me. One major...

@WorriedGrandma - You are right to be worried, but you are doing what you can. Early intervention and treatment is a predictor of longer term success, so there is reason to be optimistic. Try not to focus on the longer term concerns and instead spend energy on what you can control now and on...

Dear @WorriedGrandma - Based on your description, you are right to be worried and it is good that you have found yourself here. Many people have lots of experience with these situations. It is very hard to say whether this is ODD or some other issue. However, it does definitely sound like...

@lovemysons - I appreciate your contributions! Your input is very valuable and I am sure your experiences will provide help and insight to others. @Deni D - Thank you for your post. You sound like an incredible support for your son. He is lucky to have you. Before directly answering your...

Dear @Copabanana - Today I had my regular psychiatry and medication appointment. Since we have been discussing medication management and compliance, in case it is of interest to you or others, I thought I would share a bit about this process. My appointments take place every 1 to 6 months...

@Nandina - Thank you so much for sharing. I appreciate hearing the stories of others and how you have managed. Your contributions to the thread are very valued!