Oh, you know, I didn't read your post very carefully. I see that you tried behavior mod. Hmm. I would try a different therapist. We saw one therapist for almost two years for my sons's AD/HD. She taught me a lot and I really liked her, DS liked her. Then, I ended up finding a different therapist who actually specializes in AD/HD. Now, we're really getting the help we needed, learning about more resources in the community and so forth. I wish I'd known about her two years ago! If there's anything I've learned through my journey, it is to find people who truly specialize in your issue.