Help/Guidance for our Son

[Commodore76]

Hi -- I'm new to the community but have been reading the posts and comments and feel comfortable posting for the first time.

My wife and I have two sons, one of which is 6 yrs old and has been diagnosed by a Developmental Pediatrician as having ADHD. To say that we are struggling to get control of his daily life is an understatement. He has tried multiple different meds, is in a great school with a strong IEP program and Team, and has done some outside therapy -- but his behavior, especially at home, is becoming worse.

He is violent with us (biting a lot, hitting/punching/kicking, hitting his head against the ground/floor, and throwing anything he can get his hands on), says really dark things, and has trouble sleeping and eating, and is routinely anxious. This occurs all day, every day, especially when he is out of his routine. The triggers are when he is nervous about something, during transitions, and when he doesn't get his way or full attention. We use the common tactics of staying calm, having him use his words, putting him in a safe space, but it's to no real value.

He is currently taking 150mg of Qelbree in the morning and 2mg of Guanfacine in the evening -- but it's not doing anything productive. Further, the next step we are told is to have family therapy for us and him but the next appointment isn't until the Fall.

Does anyone have advice for us -- meds, treatment, how to handle as parents? As you know, we're exhausted and extremely worried. Thank you