My son is 2e also (PG and autism) and he has a lot of the same problems you talk about with your son. Since our son got the autism diagnosis first, we had started lots of therapies years ago which have helped with his impulsivity. We used/use ABA or CBT and OT, plus social skills therapy. These help him realize what he is doing and how he appears to others so he can correct his behavior at times. That being said, he flipped over his desk at school yesterday because another boy's water bottle was touching his desk. (This is actually the first time in 6 months or so that he has had that dramatic a reaction at school.) My point is, I know what your son is behaving like, and there are options available. Have you talked with someone other than your MD? Do you have a good psychologist? Ours has been invaluable for helping DS understand his mind. We have a whole team that we have been building on since DS was 2 1/2 that I can contact by email if I can't see them in person. I know ADHD is different because of the medication requirements, but I'm wondering if therapy would be something good for your son in addition to the meds. Nan
