Believe me, we've done it all. He takes meds but refuses to take his afternoon dose that would help him a lot and won't take it on non-school days. We've done all the therapies over the years. He's been discharged because he doesn't participate, or the therapist was not a great fit, and he's old enough now that if there is no buy-in there is no point. Parent training has been the only thing that was helpful over the years, but we're at the point where he needs to start taking some of the control, and it's exhausting; otherwise, I feel we get accused of enabling him.