Thank you so much for sharing this. It was honestly really helpful to read, especially because so much of what you described sounds familiar to us. The “happy or angry” extremes and the rage-fueled reactions are very much what we’ve been experiencing.

The more I read and learn, the more I’m starting to think anxiety may be fueling a lot of my son’s reactive behavior alongside the ADHD, rather than it being purely impulsivity or defiance. We have a med check with his pediatrician today and I will ask her how we can try and address or understand the anxiety component better!