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What am I supposed to do about an extremely angry child who has ADHD?

We’re in counseling but it’s not helping; the shrink can’t even figure out what to do with him.

Where do we go from here? Should we send him to an inpatient psychiatric unit to deal with rage problems? Or try outpatient anger management?

He’s punched walls and made his brothers cry; they would not tell us because they are scared of him.

What should I do?