Meds are one piece of the puzzle, and getting the right mix can be tricky. Keep trying. Another piece revolves around the skills to handle whatever is causing the outbursts. (I agree with the previous poster who said that it will be helpful if you can figure out the causes of his outbursts.) The approach described in The Explosive Child by Ross W. Greene was helpful for our family. It works from the premise that the child has a problem they need help solving, and the technique focuses on parent and child working together to co-create solutions – solutions that work for the whole family.