I found your reply to frustrated mother interesting in that you mentioned help could be found through behavioral therapy. Have you known or experienced an occasion where a child whose behavioral symptoms were severe has been helped with behavior therapy. Of course the child would need to be on a stimulant med as well. I suggest that there is no effective behavioral treatment for the severe behavioral symptoms of ADHD and ADHD/ODD currently being practiced by the ADHD clinical behavioral therapists. I could be wrong. The description of your son's severe behavior problems sounds like ODD as well. You must be a very busy lady. It's nice of you to take the time to be supportive of another member of our ADHD community. There is a new type of behavior therapy being practiced for severe problems that was discussed recently at the CHADD conference.