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How long have you felt that he was the problem? It is very very very likely that he is acting out, that you are not exaggerating any of his issues and he is very difficult to relate to and care for but... You said your meds are not working... Children are not born "bad" they are kind of "molded" that way from just about everything that comes in contact with them. Millions of things can leave an impression on a child and change them. Or it could be a behavioral disorder but consider... Perhaps that your medication not working is causing the gap between yourself and your child. Perhaps an adjustment in your meds could help your patience with him and understanding. Toddlers are terrors but as parents it's our responsibility to guide them in the right direction and away from the bad.
Perhaps somewhere along the line a bridge was drawn between yourself and the child and he senses your feelings toward him thus his acting out?
I would suggest a family therapist, not to address yours or his problems but to address the family problems and try to find a way for everyone to coexist in a loving family way instead of being forced. All of these pent up emotions will take its toll on you and those around you.
I mean no offense to this but please consider everyone in your family, no toddler is evil. No toddler is just "bad" something (and in NO way am I saying that something is you no way at all) causes that reaction from children. It's not our natural way to be hateful or bad or mean. It's what we learn at some point.
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I'd lock my hands behind my head, I'd cover my heart and hit the deck, I'd brace myself for the impact if I were you.
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