J.,
Penni said what I would say. Diet, counseling, the book.
"Nerve Tonic" homeopathic tablets made by Hyland are what saves us. I get them at Whole Foods Market, in the homeopathic section. Any staff there will be glad to help you with that and more. Nerve Tonic is gentle but it really works to calm my sons down. You put them under your tongue and they dissolve right away. We also take fish oil blend capsules every morning, which seem to have made a real difference over time. I use the Nerve Tonic tablets, too. During the day, and when I can't sleep at night.
The boys' dad and I need alot of improvement in this area, but we have found that when we can keep a grip on ourselves, it helps the kids calm down much faster. I read alot of books on developing calm, but we are going to start family counseling as well. Stop by or call your local public school to find out if there is free anger management counseling sponsored thru a public school near you. I heard about a counseling center called The Glass House that works with families with kids with serious anger issues, and am going to look into that also.
My youngest (7) can't have anything with RED DYE in it (guaranteed that he goes BERSERK within minutes of ingesting even a small amount of anything with red dye in it), and also has to stay away from any naturally red fruit: apples, apple juice, cranberries = extreme anger and aggression.
Thank God I figured this out a few years ago when my mother-in-law gave me a paperback copy of a book called "Why Your Child is Hyper-active" by Ben Feingold, MD. The Feingold Diet is given in detail in the book. It tells about fruits and vegetables that naturally contain "salycilates", an aspirin-like natural compound that has been found to turn some children into raving monsters. My 7 year old can't even have a small cup of apple juice: he goes nutso within minutes.
RED DYE: It's all made from the shells of a certain kind of red BEETLE! (makes sense my son can't have it, I'm deathly allergic to lobster....). Red dye is in a TON of products, not just juice and candy. Best example: One little handfull of M&M's or a little bit of candy cane turns my son into a sobbing mess within minutes.
Corn syrup (in most every single product at the grocery store), wheat, or milk... could be giving your son problems. It's hard to eliminate all of that stuff at once, but maybe you could try first eliminating everything with corn syrup in it for a week, then go from there.
If it were my son, I would stop the meds ASAP, with the doctors supervision ofcourse. Unfortunately pills can't be stopped cold-turkey, but again, your doctor will know. If it were me, I would stop using it since it isn't helping anyway.
Personally what works for my kids (one ADD, the other with Tourettes) is no food coloring, no preservatives, no extremely salty stuff, and no "convenience" food like Lunchables. We take our own popcorn to the movies (home-made or Whole Foods microwave popcorn). Snacks include low-salt Goldfish and lots of other crackers and cookies from the organic section of the regular grocery store or from Whole Foods, and I use low-sodium chicken broth for cooking.
Homemade lunches are a pain in the neck, but it makes a HUGE difference with my kids. School lunches are full of preservatives, MSG, and food coloring (in the juice drinks and Italian icees). The few times I am in a rush and they eat school lunch, they are DEVILS after school. My kids have cookies and sweets daily, icecream and pudding too, but it's either from the organic section at the grocery store or from Whole Foods. JellO pudding is another one that turns my sons in to raving lunatics! They do OK with Cozy Shack pudding, Publix has that as well as Whole Foods.
What is your son having for breakfast? If you're using grocery store freezer stuff like Eggo waffles, cereal, instant oats, etc.: try not using it for a week. It's all full of corn syrup, and all of the sausage and bacon is full of preservatives. My kids would gladly live on Eggos, Aunt Jemima french toast, McDonalds egg mc-muffins, and Lunchables... but I have found all of it to cause serious behavior problems. Once in awhile I "expirement" and give them "normal" stuff: instant BONKERS.
For breakfast, I alternate oatmeal, grilled cheese, eggs, peanut butter on toast, preservative-free sausage and bacon (at Whole Foods), pizza, bagel with plain cream cheese (not the Lender's bagels from the grocery store, full of corn syrup.) And banana, orange slices, green apple slices, sliced pears, or sliced kiwi (when the price is down.) I buy jam and jelly without corn syrup from Whole Foods, too.
Last idea: look into the supplements Phosphatidylserine and Carnitine. I just recently read that one or both of these can stop ADD/ADHD symptoms in many children!!!! I am waiting on a book from Bottom Line that tells exactly how much to use for children and what brand(s). I had no luck researching online.
Let me know if you want me to e-mail you the info when I get it.
Another thing that saves me is reminding myself of all the blessing we do have, and that it could be alot worse. And remembering to BREATHE! I swear, I forget to breathe when I get really upset. And when the kids are going nuts and I remember to remind them very gently and repeatedly to breathe in big breaths and breathe out the mad, it really does help (...usually!!).
My heart goes out to you and your family, and I'll keep you in my prayers~
C. N.