hi, I haven't written in quite some time, so here's what is going on; my grandson is now 9 years old, has ADHD and ODD, perfect 👌 combo. Anyway, he is a bright, smart, funny, loves to laugh (his,laughter can be contagious) boy.. He can be so nice and gentle, however once the time limit has exceeded on the Xbox his personality will change, he can be mean, nasty, impulsive, once the outbursts begin he is uncontrollable, throwing things, the doorknob came off from door slamming, I refuse to replace it..my grandson will not take time outs (sent to his room) he just won't budge from location of tantrums start. I have physically picked him up to go to his room,and right back out he comes. So then a grounding, loss of electronic, playdate, even a loss of playing in his sport; I have gone through the reward system using a chart with daily expectations!. The rewards can be anything he enjoys with earning tokens each day, if he loses a few one day it can be earned with positive behavior...he sees a psychiatrist, was put on Prozac for anxiety and eventually Adderall for ADHD...he has a lot of impulsive behavior in class (not aggressive), not paying attention to the teacher, fortunately his grades are good for now.; I took him off the Adderall because a twitch developed in his mouth , which this is just One of the Side effects of stimulates. He is going this month to see a neurologist., maybe there will be some help..I can go on and on with details of our days and nights but I am certain it's all behavior everyone in this position experiences....so all I want to say is after he sees the neurologist, maybe some help other then medication is there. I know it's behavior modification, but how do you modify a childs behavior who doesn't care about the consequences?