He is around 13 now (8th grade) and you have had a problem for 8 years-since he was 5? In other words, pretty much his entire childhood? That is a long time for him and you to suffer without trying medication to help. The situation will likely worsen in the teen years (All those changes) so finding an effective medicine is rather urgent, and may take some trial and error and time. Many psychiatrists in my city have 3-4 month waiting lists for an appointment.