Lately in the last few weeks Gabriel's energy level has been through the roof! His teachers report needing ALOT of redirection and prompting. This week has been particularly tough with him, he constantly wants to pick on his brother, taking toys, being combative and pushing and shoving him over and over. His energy level also seems to be much higher than we are used to and he is becoming increasingly more difficult to control. Increasing tenex frequency/ dose has not seem to had an effect on his Behaviour only makes him drowsy, there does not seem to be a time of day he is worse. Recently it just happens to be that any little thing might set him off, this morning he didnt want the shirt I picked for him and he had a full blown melt down, again this afternoon when his brother was napping he wanted his brother to get up and when I simply told him Ayden was sleeping he had another meltdown. He has started screaming NOO! and clenching his fists at his side, than, usually ends up trying to hit the adult he is upset at. At home with his brother he often antagonizes him, stomping on him, running over pushing, or slapping him. There has been no changes to home life and all of his teachers and aids are the same, So what has triggered the change other than actual age progression is a mystery.
Gabriel's progression in this direction is concerning and after speaking with his Dr she suggested a diagnosis of disruptive behavior disorder, this way he will be able to receive outside services from Mass health now that his behavior has reached the point of a safety concern for