Thank you DoggyBonz! Self esteem is going to be a big thing to help him change. He feels stupid and hits himself when he does something he knows it's something he should not do or gets upset at himself. We make sure, when he is visiting, that we tell him we love him, he is a great kid and he can do anything in life if he tries. We will certainly work on that!

Thanks for the helpful info about your niece. I am all for hearing from adults who had to deal with ADHD as kids because we have no idea how to help him. We know he needs his meds, but therapy is going to be huge. We are going to get him into some sort of social group. We are going to take him out more often (his mom doesn't do that much). He is so focused on himself that he doesn't even care what anyone else's opinion is and doesn't try to even know.

Needless to say, this is going to be very tough, but I am willing to do anything to help him. I love him with all my heart.

I am in therapy too because with my bipolar and DID, it's going to be a huge testing of patience.