PJK suggested to journalize any outbursts or behaviour that seems counter productive for families and I would like to tell about my family's experience.

My 9 year old son has TS, ADHD, and some signs of OCD and we found at times that he would become very irritable and make bad choices.

We wrote down his behaviour for a few months and came to the realization that he would only act this way when he was tired! We thought that it was his ADHD or maybe we could do a better job of parenting him.

This has really helped our family and I would highly recommend trying it.