Personally I have never been a fan of Rx for things like mood disorders. There is just to little by way of conclusive studies that show the long term effects and potential dangers of using psychotropic substances that alter neuron pathways and receptors in still developing brain tissue. Children and teens are still going through their cognitive and emotional development . I could rant forever on why I feel the way I do but every parent is entitled to do what they feel is correct for their child and I do not want to step on any toes in a very touchy subject. I would like to remind, or enlighten, all you moms out there that school systems AND doctors alike get funding and "bonuses" from these Rx companies to hit a quota of their particular Drug perscribed. Rx is FOR PROFIT BUSINESS they have their bottom line in mind and their profit margin NOT yours or your childrens health. They mask symptoms more than they " cure" problems. There is no " magic bullet" that fixes a mood or behavior disorder. Time, therapy, diet, attention, activity, and discipline will. Of course extreme cases such ad schizophrenia and manic/depressive bi polar disorder are a different scenario. In your case I would see 1 if not 2 other doctors for a second opinion. The school system is unsympathetic ( I lived in south Florida I know their system sucks) but you do have the summer to gain some improvement. I have always thought martial arts is ideal for an aggression problem. Have you thought of enrolling him in a martial arts based camp or local classes. He will learn discipline and it will be a good channel for his aggression andsequel energy. It is also a solo sport so it aids in the self awareness a self reliance and would keep him from any unnecessry confrontations with other teamates. It also builds self confidence and may provide him with some postive male influences since you said his dad isn't really part if his life. That may be a contributing factor of his acting out too. I don't know the circumstances if yours and your sons relationship with his father, I know it can be challenging but barring any real concern for his safety and well being you may want to consider allowing his dad to try rebuild a relationship with him if he is making an effort. My brothers always rsented their mother for making it so hard for them to see their dad. Even if we hate them, are disappointed in them, or ate just afraid their half hearted attempts will hurt their childrens feelings children do need their fathers involved to some degree in their life. Myabe you might consider trying to make that summer visit happen and just buy a plane ticket that can be changed if he decides he wants to come home early. Hope I could help and hugs to you and your family things will get easier :)