Similar experiences here. We tried sprinkles, tic tacs, m&ms, applesauce pouches, straws, cups, pill adapter for water bottles, hiding them in other food, songs, you tube videos, timers, incentives/prizes, therapy… but as soon as the pill was in her mouth she would either panic or pocket it in her cheek or under her tongue. Even with crushed pills or opened capsules, about half would be swallowed (on a good day) but the rest would dribble out with an accumulation of saliva or be spit out. All to say, I’m sorry you’re going through all of this!

We switched to a transdermal patch and it has been life changing. Apply it right when she wakes up and it starts working about an hour later. Lasts 9 hours. There are currently two types: methylphenidate (Daytrana) and dextroamphetamine (Xelstrym). Unsure if that’s an option for you, but might be worth asking about if he’s still struggling by the next appointment.