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[quote=Anonymous]OP, another vote here for (1) more extensive evaluation of your son for possible ADD and (2) detailed assessment of your son's mental health by whoever is the appropriate medical professional.

Regardless of whether he has ADD, he may have anger management issues that need therapy or counseling. The fact he cannot calm down or come down from anger, and is so intense in his anger, sounds strikingly like my friend's child, who from a young age would be fine for long periods but then be triggered and "rage" to the point she was thrashing around. Turned out she had several different mental health issues that have required treatment for years now.

I'm not saying your son will have issue as serious as hers, but I am saying that the earlier you get doctors involved and work on this, the better; your son at 10 should be past the kind of extended bouts of anger you describe. And you and your husband can get very good advice by being in family therapy yourselves, so you know how to navigate your son's anger episodes.

He is very close to puberty and everything is much, much harder to diagnose and treat as kids get into puberty and teen years -- they're more aware of what's being thought and said about them, and they realize they're being looked on as possibly having a problem; so they sometimes resist treatment, or tell doctors and parents what they think the adults want to hear, etc. Another friend is going through that with an older teen son who needs treatment.

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