Signs "from birth", no understanding, disbelief...etc...You know your child. We had to end up with a dx from a ped neurologist because no one else wanted to deal with it... neither did we!!LOL!! It's damn hard, and I think it always will be. My dd is about to turn 8. The meds have been an amazing help, and also the way we handle her now. I DON'T give in, I DO give choices. They might not be what she wants to hear, but they are MY list of options for her. I allow her to decide what she wants for dinner (used to be a battle, but I don't have time to go there with her), but I give her the options that I know she likes or will eat, and that are easy for me to do, and she chooses. When I had trouble getting her to pick up her dirty clothes, the hamper became a basketball goal, and her clothes were the ball. She even tried to "dribble" them. Yes, my family has made some HUGE adjustments (I was raised without the word "no" in my vocabulary), and it's been hard for me to step back from that. What I learned is that when a child has this problem, stepping back is not surrendering, it's simply forming a new strategy!!!