The things that set him off are varied... but they can basically be boiled down to anything he perceives to be "unfair," and when he gets overwhelmed. The "unfair" stuff is the normal stuff you expect to see with a bunch of 7/8yr olds - so and so wasn't taking turns, tommy cut in line, suzy made a face at me, etc. These sorts of triggers have been getting a little better, but I think they are still effecting his frustration level. The overwhelmed part is I think what's triggering him more lately. The mere idea of a test can set him to crying. A test on material he's known how to do for over a year, mind you. But in his head he thinks these over-the-top things might happen that will cause him to fail. We've been discussing this sort of thing at home a lot, but I don't know if it's helping much.
I plan on talking to his psychiatrist again soon. He's got him on two meds - one for ADHD (concerta) and one for what the dr called "mood disorder" which I believe was him just not wanting to tell us he thinks bi-polar (trileptal). Personally, I more and more disbelieve a bi-polar diagnosis. I think ADHD + anxiety is the primary problem.
