Wow , that is hard at that age ! Thank you for sharing. I went out last evening a bought the Explosive Child book! In the past, we ran a very organized, peaceful and well managed home. I know this is the illness but you are all correct , he can control some of it. I am so freaked out about causing a rage (hours) that I comply to all. He is in so much emotional pain during these rages that I feel horrible if I can do anything to avoid it ,and so I(we do). He hits his head and more. As far as your son "NOT CARING" is he on an SSRI? certain meds can cause "emotional blightness" . While they are helping to being down the anxiety, they can effect the motivation and emotional portions of the brain. My oldest is on Luvox and he has very little emotions. If we lower it , he becomes too emotional. He had PANDAS when younger and we didn't know it. He was always being treated for strep and on low ssri so it kept him somewhat controlled I suppose. That was 10 yrs ago and PANDAS was even less know. Thank you all for great advise (and wise)