Our 11 yr old son has always had problems managing friendships. In primary school he was always in trouble for being disruptive. I always believed he was ADHD but the teachers said "do we want him to be on medication?" so nothing was done. He has now gone on to senior school (he is actually very clever and passed his 11+ and is in grammar school) but his behaviour is getting worse. He wont go to sleep at night, rolls around and makes noises, getting many "strikes" at school each week for disrespectful behaviour/disruptive behaviour. He is argumentative at home and will not do as he is told. On a good day he can be the sweetest boy. The school have now setup a CAF meeting next week but we are still at our wits end. I dread going home after work and dread evenings when it is sleep time. He has recently started scratching his arms against the bottom of the bed because he likes how it feels. His diet is terrible but cannot get him to try anything. We have taken away his gadgets for whole weekends but still no improvement. We constantly feel sick with worry at where this is going to end.