Things with my son were going slightly better for most of the last week or so. He was getting most of the stamps on his behavior plan and was able to make the transitions to specials, lunch, etc without much problem. He had his moments, but overall was pretty good. Then came Wednesday. He started his day off in a mood and continued until he finally got sent home. He hit, kicked, spit on (he's NEVER done that before, no matter how angry), screamed at, and ran from his teacher, her assistant, and the principal. I tried to go in and calm him down, but it wasn't doing any good. Dad finally came and got him around lunch time. So, I decided I had enough of jumping through the hoops and waiting on the "system" to get him some help. I made him a doctor's appointment for Thursday afternoon. Thankfully, he showed his true colors at the doctor's office. She and I couldn't even finish a sentence because he was all over the place-on the table, off the table, in my lap, standing in my lap, standing in the chair, back on the table, playing with his toy, throwing it down and getting a book, etc...all through the appointment. She said that she thought he's still young to be trying meds, but it seemed like a crisis situation with him being sent home from school and being so out of control. She said she would be willing to do a trial run of meds. She put him on 5mg atterol in the morning and half a dose at noon. I took him home and gave him to half dose after our appointment. By that evening, he was able to go to gymnastics and stay for the entire class without much problem (he's still stubborn, but he was able to follow directions and wait his turn, etc). At school on Friday, he had a WONDERFUL day! His teacher even came over in the middle of the morning to tell me it was like magic. That is, until he came over to get his dose at noon(yes, meds are now in the office to avoid this problem). When he came over, he was fine, but while he was here, he picked up a binder clip that was on my desk and pinched his finger with it. That set him off. He wouldn't go back to class until the teacher came over and dragged him in. He ended up pulling her hair and screaming with the assistant principal for 20 minutes before they came to get me. I spent another 40 minutes in the bathroom of his classroom calming him down. Finally, he was ready to be with the class. It was grandparents' day, so my MIL was here to eat with my kids. When I came in, I could tell he was about to have a melt down, so I went over and sat with them for lunch. He had another smaller meltdown when grandma left but not too bad Saturday went great! I could tell that the meds were working because he was able to have a coherent conversation and stay focused on the topic. He talked ALL DAY LONG, which is unsual for him. Sunday was not so good. He was not able to go to church because he was having a meltdown. Finally, around 12:30, he was able to pull it together and had a really great day after that. Today was a disaster. He had meltdown after meltdown. The only positive thing was that he wasn't being so violent today, just screaming and sobbing. I never expected the meds to be a "magic bullet" to solve the problem. I know that it's going to still take a lot of work on everyone's part, but I'm just at a loss. How long should it take before we see a difference in his behavior? Are the meds not working or could the dose be wrong? I just don't really know what to do with him. Suggestions are welcome (this is really painful for me, so please keep it nice).