He's been diagnosed by multiple doctors. We've tried all the "newer" medications, and have recently changed to Ritalin. He has less side effects with Ritalin, and when it kicks in, he's happy, more "himself", and a great kid. When the meds wear off, he turns into a screaming maniac. He'll bang his head on brick floors, glass doors, put his fists through the wall. He hasn't hit me yet, but he pulls back like he wants to. It is so difficult to wake him up and get him moving in the mornings. I come to work and I'm shaking all over. He's worn me down. It just seems like he can control himself....when he chooses to control himself. I think it's bad parenting skills, lack of follow-through, lack of tough discipline!?!??! Who knows!