Have you hold your son’s behavioral therapist that he thinks the tickets are stupid? Chances are, a structure for rewarding positive behavior isn’t going to work if you don’t have his buy-in. My 8-year-old son has been in behavioral therapy for 19 months and it’s helping with some things but not yet with others. We praise him when we catch him doing the behaviors we want more of, and have a set of consequences for the behaviors we want to stop. Is the therapist guiding you on how to set up effective consequences?
I suggest sticking with behavioral therapy for at least two years before giving up. It does help! That said, we’re at the point where we’re considering medication.