One option is antihypertensives, such as guanfacine (Tenex
) or catapres (Clonidine
). In very small doses b.i.d. or t.i.d., these medicines can be quite useful in reducing anger and volatility. Another choice would be the broad class of mood stabilizing drugs, and with a child his age the sub-class that might be most useful would be one of the valproic acide preparations, such as Depakote.